“Medical insurance”, “medical treatment” and “patients” are indispensable organic whole in the social medical insurance system. The medical insurance party raises the medical insurance fund and guarantees the basic medical needs of the insured when they are sick by purchasing medical services or paying fees from medical institutions. Good system design needs good execution to produce good effect. Medical institutions are the “transmission shaft” of the smooth operation of the medical insurance system, and the “foothold” of medical insurance fund payment and patients’ access to services. The management practice of medical insurance in the hospital is also the most important and difficult in the field of medical insurance management. The establishment and development of a social security system is inseparable from its political ecology and economic soil. With China’s economic development entering the new normal, the supply side structural reform is deepening. The economic structure, development mode and national governance mode are all undergoing profound changes. The sustainable development of the universal medical insurance system is facing the opportunity of releasing the reform dividend, as well as the challenges such as the shift of economic growth rate, the “pain” in the window period of reform, and the aggravation of population aging. Under the dual pressure of increasing income and expanding expenditure, the management mode of medical insurance from “controlling the demander” to “controlling the supplier” continues to be strengthened, which makes the hospital medical insurance management become the focus and difficulty of the whole medical insurance leverage.
    The top-level design method of information system provides strong technical support and strategic guarantee for the informatization of health industry. Especially in the era of mobile Internet and big data, the health information system is becoming more and more bulky, the amount of data is increasing rapidly, and the trend of information sharing and regional medical treatment is becoming more and more important.

前 言

“医保”“医疗”和“患者”是社会医疗保险制度中三者缺一不可的有机整体，医保方筹集医疗保险基金，通过向医疗机构购买医疗服务或者支付费用，在参保人员患病时保障其基本医疗需求。“徒法不足行”，好的制度设计需要好的执行才能产生好的效果，医疗机构是医疗保险体系顺畅运行的“传动轴”，是医保基金支付
和患者获得服务的“落脚点”，医疗保险在医院端的管理实践，也是医疗保险管理领域的重中之重、难中之最。一项社会保障制度的建立和发展离不开所处的政治生态和经济土壤。随着我国经济发展进入新常态，供给侧结构性改革走向深入，经济结构、发展方式、国家治理模式等都在深刻变化，全民医保制度的持续发展面临着改革紅利释放的机遇，也面临着经济增速换挡、改革窗口期“阵痛”、人口老龄化加剧等挑战，基全增收减缓与支出膨胀的双重压力，使医疗保险从“控需方”向“控供方”的管理方式继续强化转变，这更使医院医疗保险管理成为整个医保杠杆上的焦点和难点。
        信息系统顶层设计方法为卫生行业的信息化提供了有力的技术支持和战略保障。尤其是在移动互联网和大数据时代，卫生信息系统日趋庞大臃肿，数据量剧增，信息共享和区域医疗渐成趋势的大环境下，信息系统顶层设计方法显得尤为必要。

Chemistry education and application is an applied subject to study the teaching law of chemistry education and explore the teaching methods and Strategies of high school chemistry education in the new era.
    At the beginning of this book, the basic theory of chemistry education and application is discussed, including the history of chemistry education, the methods and principles of chemistry education and learning process, the consciousness of chemical application and the cultivation of various abilities in chemistry education. After that, the contents of integration and development of chemistry teaching resources in senior high school, the design and implementation of chemistry classroom education, the teaching of various chemical knowledge, the chemical experiment education, the chemical humanities education, the Internet plus basic chemistry education, the evaluation of chemical education and the practice of life teaching in rural high school chemistry are introduced.  This is a practical chemistry teaching guidance book combining theory with classroom practice.

前 言

化学教育与应用是研究化学教育教学规律，探讨新时期高中化学教育教学方法与策略的一门应用学科。
      本书开篇化学教育与应用基础理论部分探讨了化学教育史基础、化学教育与化学学习过程方法与原则、化学应用意识以及化学教育中各种能力的培养，之后分别介绍了高中化学教学资源的整合与开发、化学课堂教育的设计与实施、各类化学知识的教学、化学实验教育、化学人文教育、互联网+基础化学教育、化学教育评价与农村高中化学教学生活化的实践等内容，是一本理论与课堂实践相结合，切合实用的化学教学辅导书籍。

In today’s faster and faster pace of life, due to the pressure of work, unhealthy lifestyle and other factors, breast thyroid disease is showing a high incidence trend. It is an urgent need for people to pursue health, understand disease-related knowledge and actively promote disease rehabilitation. With the continuous improvement of modern people’s cultural level, the understanding of diseases is not limited to simple popular science books. They are often eager to understand the causes, manifestations, related examination, rehabilitation, prevention and other professional knowledge of diseases, so that they can make the best choice of actively cooperating with treatment when discovering diseases. In the recovery period of the disease, they can recover to the best state as much as possible, and they can adopt a more healthy lifestyle by understanding the relevant factors of the disease.
    Combined with the latest diagnosis and treatment technology and clinical experience of breast and thyroid diseases in recent years, this book comprehensively and systematically introduces the general situation of breast diseases, health education of breast related diseases and common diagnosis and treatment technologies, overview of thyroid diseases, health education of thyroid related diseases and common diagnosis and treatment technologies.
    This book is comprehensive, informative, specialized and practical, and has strong guidance. It is a necessary reference book for breast and thyroid surgeons, and also a must read book for young doctors. Due to the fact that the book was compiled in a short time after busy medical treatment, teaching and scientific research, it is inevitable that there are omissions or even errors in the book. Readers are welcome to criticize and correct it.

前 言

在生活节奏越来越快的今天，由于工作的压力、不健康的生活方式等因素，乳腺甲状腺疾病呈高发趋势。追求健康、了解疾病相关知识、积极促进疾病的康复是人们的迫切需要。现代人的文化程度不断提高，对疾病的了解不仅只限于简单的科普读物，他们常常渴望了解疾病的发生原因、表现形式、相关的检查、康复、预防等专业知识，使他们在发现疾病时能够做出积极配合治疗的最佳选择，在疾病的康复期能够最大限度地康复到最佳状态，通过了解疾病的相关因素能够采取更加健康的生活方式。
      本书结合近年来乳腺甲状腺疾病最新诊疗技术和临床经验，全面系统地介绍了乳腺疾病的概况、乳腺相关疾病及常见诊疗技术的健康教育、甲状腺疾病的概况、甲状腺相关疾病及常见诊疗技术的健康教育。
      本书内容全面，资料翔实，专而实用，技术规范，具有较强的指导性，是乳腺甲状腺外科医师案头必备的工具书，更是青年医师必读之书。由于是在繁忙紧张的医疗、教学、科研之余编写，时间仓促，故书中疏漏甚或谬误之处难免，恳请读者见谅，并望批评指正。

Practical clinical obstetrics and gynecology is a special subject in clinical medicine. It involves both internal and external departments, and integrates gynecology and pediatrics. With the rapid development of medicine, the knowledge and technology in the field of obstetrics and gynecology are constantly updated. Women account for about half of the total population of our country, and nearly 100000 medical staff are engaged in obstetrics and gynecology. They are a huge team that needs to be improved and trained, especially young and middle-aged doctors. Therefore, it is urgent to compile a reference book suitable for obstetrics and gynecology clinicians on this basis.
    This book includes perinatal medicine, reproductive medicine, general gynecology and gynecological tumors. On the basis of certain theoretical knowledge, it focuses on the clinical practice part, which reflects the clinical frontier level of obstetrics and gynecology in China, and puts forward some new theories and opinions in the academic field; the layout is novel, which integrates the anatomy and physiology with the clinical part, which is easy for readers to understand and remember.

前 言

《实用临床妇产科学》是临床医学中具有特殊性的一门学科。它涉及内、外两大学科，又将妇、儿科融合一体。随着医学的飞速发展，妇产科学领域中的知识和技术也不断更新。妇女约占我国人口总数的一半，从事妇产科的医护人员近 10 万，是一支庞大的又亟需提高和培养的队伍，尤其是中、青年医师。因此，在此基础上编写一本适合于妇产科临床医师的参考书可谓是当务之急。
      本书包括围生医学、生殖医学、普通妇科及妇科肿瘤。它在一定的理论知识基础上，重点突出了临床实践部分，内容反映了我国妇产科临床前沿水平，并在学术上提出了一些新的理论和见解；编排格式新颖，将解剖生理与临床部分融会贯通，便于读者理解和记忆。

As a basic industrial project, water conservancy project needs to strengthen management and control in the construction quality. At present, there are still some deficiencies in the management and control of concrete construction of hydraulic structures in China, resulting in cracks in concrete. In this regard, the construction unit should find out the causes of concrete cracks in hydraulic structures, and then take appropriate measures to improve them in time.
    Hydraulic structure is a kind of social building groups, and is an organic part of the local environment. With the development of economy and society, the appearance of hydraulic structures is paid more and more attention. The appearance quality control of hydraulic structures is mainly in design and construction. The quality of appearance design is not only convenient for construction, but also characteristic when the building meets the requirements of operation function. The quality of construction is reflected in the implementation effect of buildings. The common appearance quality defects are honeycomb and pockmarked surface, different color and color, and too many bubbles, which should be controlled from the construction technology and the quality of building materials.
    At present, China’s water conservancy construction is constantly developing and improving, hydraulic structure is a very important part of water conservancy project. For hydraulic structures on clay foundation, if we want to strengthen the bearing capacity and stability of hydraulic structures, we usually use pile foundation, excavation and replacement foundation, excavation and pouring concrete and other forms. However, if the anti-seepage function of the foundation is fully considered in this process, the excavation and replacement of cement soil foundation can show the best effect, and its effect is better than other foundation forms.

前 言

水利工程作为基础产业工程，需要在建筑施工质量上加强管理控制。目前在我国的水工建筑物混凝土施工管理控制方面， 还存在一些不足， 致使混凝土出现裂缝。对此，施工单位要找出水工建筑物混凝土裂缝出现的原因，然后采取合适的方法及时加以改进。
      水工建筑物是社会各建筑群体中的一类，是所在地环境的一个有机组成部分，随着经济社会的发展，水工建筑物的外观越来越受到重视。水工建筑物的外观质量控制主要在设计与施工两个环节。外观设计的质量表现在建筑物满足运行功能要求的情况下，既方便施工，又具有特色。施工的质量表现在建筑物的实施效果。常见的外观质量缺陷主要有蜂窝麻面、色泽不一、气泡偏多，应从施工工艺、建筑材料的质量等方面加以控制。
        当前我国的水利工程建设在不断地发展和完善，水工建筑物是水利工程中非常重要的一个部分，对于黏土地基上的水工建筑物，如果从加强水工建筑物的承载力和稳定性来说我们通常会使用桩基础、 开挖换填基础和开挖浇筑混凝土等多种形式，但是如果在这一过程中还要充分地考虑到基础的防渗功能，开挖换填水泥土基础形式能够展现出最好的效果，其效果要比其他的基础形式更好。