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This book provides a dynamic simulation model based on input-output
table. The model includes an objective function, i.e. maximizing
economic and social development and three sub-models, including
economic growth model, pollutant emission model and energy balance
model. The data of 2012 is selected as the base period data. The
haze control policy of Hebei Province is written into the model as
an exogenous variable. Reducing the total PM2.5 emissions is an
environmental constraint, which is used to eliminate the impact of
natural factors on environmental quality. Lingo software is used to
simulate this model. By comparing the socio-economic impacts in
different scenarios, this book found the most effective policy
combination of haze governance. Comprehensive haze governance
policy recommendations provide experience for other regions of
China and other developing countries. In this book, the dynamic
simulation model of haze governance also provides a reference to
other environmental policy simulations. This book is divided into
five parts. The first part is an introduction. This paper mainly
introduces the research background, research status at home and
abroad, the purpose and significance of the study, the content and
methods of the study, the key scientific problems to be solved and
the expected results. In the second part, the current situation and
existing problems of economic, social, energy and environment
development in the study area are analyzed in detail. In the third
part, a comprehensive evaluation model of dynamic optimization of
haze control policy is constructed. The fourth part carries on the
simulation experiment, and carries on the analysis to the
experimental result. The fifth part puts forward the policy
suggestions to realize the economic, social, energy and
environmental development of Hebei Province. In this book, we have
some understandings about haze governance. From the perspective of
policy effect, the policy effects of subsidy for soil and water
conservation, subsidy for development and utilization of clean
energy, subsidy for new energy vehicles, motor vehicle restriction
and subsidy for introduction of PM2.5 treatment technology are
decreasing. Comprehensive policy can better achieve the goal of
sustainable development of economy, energy and environment than
single policy, and the effect of "source governance" policy is
better than that of "end governance" policy.
1. This title uses the balance sheet approach and macro-financial
linkage analysis to conduct a comprehensive analysis of the trends
within China’s macroeconomy in 2020. 2. This is one of the first
works to examine macroeconomy of China under the backdrop of the
COVID-19 pandemic. 3. This title is one of the latest works of
Zhang Xiaojing, who is is the recipient of many prestigious awards
such as Sun Yefang Financial Innovation Prize for 2015, and Sun
Yefang Economics Prize for 2005 and 2007.
1. This title uses the balance sheet approach and macro-financial
linkage analysis to conduct a comprehensive analysis of the trends
within China's macroeconomy in 2020. 2. This is one of the first
works to examine macroeconomy of China under the backdrop of the
COVID-19 pandemic. 3. This title is one of the latest works of
Zhang Xiaojing, who is is the recipient of many prestigious awards
such as Sun Yefang Financial Innovation Prize for 2015, and Sun
Yefang Economics Prize for 2005 and 2007.
Several medical options in palliative care can have complex moral,
religious, cultural, medical and legal issues. These treatment
options, such as assisted suicide, rehydration, parenteral
nutrition and cardiopulmonary resuscitation have been heavily
debated in the literature. Physician-assisted suicide is a
controversial topic for debate, with growing pressure from advocacy
groups for legalisation in regions that have yet to decide.
Currently, there is substantial opposition from concerned medical
professionals. However, a school of medical professionals
acknowledges that physician-assisted suicide may have a role in
terminal care. The debate over the use of artificial nutrition and
hydration (ANH) in terminal illness is also contentious despite
extensive ethical and empirical research. Advocates for and against
ANH both agree that the most compassionate and humane option for
patients near the end of life is hospice and/or palliative care.
However, many of those who support ANH do not seem to appreciate
that the standard palliative practice is to avoid the use of ANH in
almost all instances. These topics remain heavily disputed in the
medical community. In formulating a satisfactory answer, we need to
remind ourselves that we cannot generalise a treatment as a correct
or incorrect option. Rather, we need to consider each case
individually, weigh the risks and benefits of each treatment, and
individually consider treatment options in a multidisciplinary care
model.
Many cancer patients experience a variety of distressing symptoms,
adversely affecting their functional status and quality of life
(QOL). Subjective symptoms such as pain, fatigue and depression are
common among cancer patients, with approximately 33-55% of cancer
patients experiencing pain during the course of their illness.
Previous literature commonly examined a single symptom and its
effect on patients' functional status and QOL, but patients often
experience multiple symptoms simultaneously. Since individual
symptoms are often associated with decreased QOL, the assumption
that symptom clusters might have a greater effect on QOL is
logical. The coexistence of symptoms provides an insight into the
importance of assessing clusters of symptoms rather than focusing
on individual symptoms. Although the focus of single symptoms has
advanced the understanding of those particular symptoms, it may not
be as helpful to health care professionals in guiding practice when
patients present several concurrent symptoms. It is important for
clinicians to address and ultimately treat all concurrent symptoms.
Symptom cluster research will help our understanding and treatment
of multiple symptoms.
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Cancer - Spinal Cord, Lung, Breast, Cervical, Prostate, Head & Neck Cancer (Hardcover)
Breanne Lechner, Ronald Chow, Natalie Pulenzas, Marko Popovic, Na Zhang, …
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R5,470
Discovery Miles 54 700
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Ships in 12 - 17 working days
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In Canada over the past fifteen years, there has been a 39% rise in
new cancer patients, necessitating the expansion of current
oncological facilities. The population is getting older and larger,
which in turn is translating into more cases of cancer. Other
reports projecting cancer growth across different countries found
similar results. With the prevalence of cancer expected to increase
in the future, it is important to properly allocate resources
towards cancer research to better serve the population. Patients
with cancer continue to live longer; as such, more elderly
individuals will live with cancer. In fact, cancer has been
classified as a chronic illness alongside diabetes, hypertension,
and heart disease. This may translate to an increased demand for
oncologists, specialist-trained nurses, diagnostic services, cancer
centres, cancer therapies and palliative care. More importantly,
this will translate to an increased necessity for cancer research
to decrease the mortality and morbidity associated with cancer
while improving the quality of care.
With effective systemic therapy and comprehensive supportive care,
patients with metastases can live longer. Breast cancer patients
with only or predominantly bone metastases have a median survival
of 2.3 years following diagnosis, while metastatic prostate cancer
patients have a median survival time of 11.3 months. With recent
advances in research, the overall survivorship of metastatic
patients has increased. The improved quality of care for metastatic
cancer patients has resulted in longer survivorship. Living longer
can lead to a higher chance of development for skeletal-related
events (SREs), which are defined as either spinal cord compression,
hypercalcemia, pathological fractures or a need for palliative
radiation therapy or surgery for bone pain. To try to reduce
pathological fractures, it is important to detect impending
fractures earlier and to administer prophylactic surgery as needed.
Longer survivorship also allows time for the development of brain
metastases. Recent advances incorporating stereotactic radiosurgery
(SRS) have been favored over conventional whole-brain radiation
therapy (WBRT) in the preservation of neurocognitive functions and
survival benefit in patients less than 50 years of age.
Multidisciplinary clinics for brain metastases are again desirable
with the joint input of the radiation oncologists and
neurosurgeons.
This book provides a dynamic simulation model based on input-output
table. The model includes an objective function, i.e. maximizing
economic and social development and three sub-models, including
economic growth model, pollutant emission model and energy balance
model. The data of 2012 is selected as the base period data. The
haze control policy of Hebei Province is written into the model as
an exogenous variable. Reducing the total PM2.5 emissions is an
environmental constraint, which is used to eliminate the impact of
natural factors on environmental quality. Lingo software is used to
simulate this model. By comparing the socio-economic impacts in
different scenarios, this book found the most effective policy
combination of haze governance. Comprehensive haze governance
policy recommendations provide experience for other regions of
China and other developing countries. In this book, the dynamic
simulation model of haze governance also provides a reference to
other environmental policy simulations. This book is divided into
five parts. The first part is an introduction. This paper mainly
introduces the research background, research status at home and
abroad, the purpose and significance of the study, the content and
methods of the study, the key scientific problems to be solved and
the expected results. In the second part, the current situation and
existing problems of economic, social, energy and environment
development in the study area are analyzed in detail. In the third
part, a comprehensive evaluation model of dynamic optimization of
haze control policy is constructed. The fourth part carries on the
simulation experiment, and carries on the analysis to the
experimental result. The fifth part puts forward the policy
suggestions to realize the economic, social, energy and
environmental development of Hebei Province. In this book, we have
some understandings about haze governance. From the perspective of
policy effect, the policy effects of subsidy for soil and water
conservation, subsidy for development and utilization of clean
energy, subsidy for new energy vehicles, motor vehicle restriction
and subsidy for introduction of PM2.5 treatment technology are
decreasing. Comprehensive policy can better achieve the goal of
sustainable development of economy, energy and environment than
single policy, and the effect of "source governance" policy is
better than that of "end governance" policy.
In early stages of cancer, patients are often presented with
treatment options and encouraged to have shared treatment decisions
with their oncologists. Shared decision making becomes particularly
important, as several treatment options with different possible
outcomes and adverse events exist. For example, women with early
breast cancer are counseled on the options of mastectomy versus
lumpectomy and radiation. The same principle should also apply in
late stages of cancer, where cure is usually not possible in
patients with widespread metastases. In these cases, the aim of
treatment should be to relieve symptoms and suffering. Improving
quality of life (QOL) rather than tumor control takes priority in
palliative care. QOL has also been identified as an important
endpoint for new cancer drugs, as determined by the Food and Drug
Administration (FDA); as such, cancer drug approval can be based on
improvement of QOL. The use of patient-reported QOL instrument
tools help clinicians determine if certain treatments improve QOL.
The research of palliative interventions should have QOL assessment
to assist clinicians, patients and their family members in shared
decision making.
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