Severe Hypokalemia due to Combination Use of Dexamethasone and Calcium Gluconate for Diabetics with Infection: A Case Report

The combination use of dexamethasone and calcium gluconate can be applied to hypersensitiv-ity. Severe hypokalemia is a usual complication of dexamethasone and calcium gluconate therapy, whichoccurs frequently with therapeutic use. Fatal cases, accidental and intentional, occur frequently in forensicpractice. The current case report presented a 43-year-old man with diabetes mellitus with infection, towhom dexamethasone and calcium gluconate were administered in the private clinic. With the develop-ment of such clinical symptoms of severe hypokalemia as quadriplegia, he was confirmed to have severehypokalemia through a biochemical test before dying of arrhythmia. And also it presented pathophysio-logic mechanism underlying severe hypokalemia as well as suggestions for clinical practice regardingcombination use of dexamethasone and calcium gluconate.     

粤港澳大湾区跨境就业养老保险协调：规范、判例与路径

养老保险作为需要长期缴费才能兑付待遇的险种，其稳定性与粤港澳大湾区劳动者跨境就业的 流动性产生了冲突，衍生跨境养老保险缴费年限累计与互认问题，直接关涉跨境劳动者养老保险权益的兑付。 养老保险参保是一个持续性行为，参保过程往往会涉及新旧法规交替，因此需要梳理新旧规定、整理司法判例 中的讼争要点，剖析实现跨境养老保险权益的关键障碍，通过柔性衔接的方式实现粤港澳三地养老保险制度的 协调，以“新法有利溯及”解决因新旧法规变化而导致的养老保险待遇兑付问题。     

安全困境、战略自主与风险偏好的惯性探究

为什么一个大国会从“风险规避型”偏好向“风险承担型”偏好转移？大国风险规避或风险承担的战略偏好并不总是与实力对比或战略环境相匹配,有时在现状收益递减或相对权力优势最大化时选择克制战略,却在仍处于现状收益递增或权力劣势时选择冒进战略。对于解释风险偏好的这一不确定性特征,可通过对国家战略自主性、战略动机、安全困境和风险偏好惯性等进行关联性考察,采取兼具体系变量与单元变量的综合路径,探究非本意的系统效应结果。通过对近代欧洲多极体系与美苏冷战两极体系的结构性和进程性考察,验证了自利德尔.哈特到保罗.肯尼迪的目标—手段的动态平衡对大国应对战略风险的重要性,并在一定程度上丰富了战略自主性与风险偏好的惯性研究。