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关键词： “学院+书院”模式   学生管理   育人新模式  

摘要： 文章主要阐述了在我国古代书院的基础上借鉴国内外"书院制"成功的建设理念、运行模式和工作方法 ,对"学院+书院"这种新的高校学生教育管理模式进行探索与研究。并以西安外事学院为例阐述了"以生为本、立德为先"的教风以及"发展个性、注重养成"的学风,强化育人意识,持续改善育人环境,首创推行"学院+书院"的学生教育管理模式。

关键词： phase-type distributions   pure premiums   benefit reserves   CTE loaded premiums   provision for adverse deviation   portfolio interest rate sensitivity   portfolio diversification effect   multiple life products   subgroup pricing  

摘要： The class of phase-type distributions has recently gained much popularity in insurance applications due to its mathematical tractability and denseness in the class of distributions defined on positive real line. In this paper, we show how to use the phase-type mortality law as an efficient risk management tool for various life insurance applications. In particular, pure premiums, benefit reserves, and risk-loaded premiums using CTE for standard life insurance products are shown to be available in analytic forms, leading to efficient computation and straightforward implementation. A way to explicitly determine provisions for adverse deviation for interest rate and mortality is also proposed. Furthermore, we show how the interest rate risk embedded in life insurance portfolios can be analyzed via interest rate sensitivity index and diversification index which are constructed based on the decomposition of portfolio variance. We also consider the applicability of phase-type mortality law under a few non-flat term structures of interest rate. Lastly, we explore how other properties of phase-type distributions may be applied to joint-life products as well as subgroup risk ordering and pricing within a given pool of insureds. Copyright (C) 2017 John Wiley & Sons, Ltd.

关键词： METHADONE treatment programs   PREGNANT women -- Substance use   OPIOID abuse   LOW birth weight   BUPRENORPHINE   TREATMENT   RISK factors   THERAPEUTIC use  

摘要： Background and Objectives: Methadone maintenance treatment (MMT) is the gold standard for pregnant women with opioid use disorders. Still, low birth-weights were reported, in particular of mothers who became pregnant before admission to MMT. We studied whether an escalating incentive contingency-management approach may contribute to better newborn birth-weights. Methods: A nationwide controlled randomized trial among all Israeli methadone/buprenorphine maintenance treatment (MBMT), newly or already in treatment pregnant women was performed. A modified contingency-management protocol with coupons of escalating value depending upon reduction of drug use, cigarette smoking, and alcohol consumption was compared to standard care arm. Drugs in urine, smoking (Fagerstrom score), alcohol use, and depression were monitored. Results: Thirty-five women had 46 pregnancies. In their first pregnancy, 19 from the contingency-management and 16 from the standard care arms were studied. Contingency-management group as compared to the standard care arm included more newly admitted women (36.8% vs. 6.3%, p = .05), with benzodiazepine and cannabis onset at a younger age, and higher proportion of any drug abuse while pregnant (100% vs. 68.8%, p = .01). Fifteen of the contingency-management and 14 of the control arm gave birth (78.9% vs. 87.5%, p = .3) with similar proportions of normal (>2,500 g) birth-weight (71.4% vs. 61.5%, p = .8). Conclusions and Scientific Significance: Newborns' birth-weight was comparable among the two study arms indicating no contribution of the contingency-management approach. Small sample and baseline differences between arms might have influenced results. Intensive intervention should be evaluated on a larger scale of participants.

关键词： CRACK cocaine   DRUG abstinence   RANDOMIZED controlled trials   MEDICAL research  

关键词： SMOKING cessation   CARBON monoxide   DRUG abstinence   CIGARETTE smokers   CONTINGENCY theory (Management)  

关键词： Physical asset management   maintenance   uncertainty   competitiveness   maintenance key performance indicators   empirical study  

摘要： Purpose: The purpose of this empirical study is to examine the role of two contingency factors, i.e. uncertainty and competitiveness in relation to physical asset management (PAM) practices as well as to maintenance key performance indicators. The research is based on a premise that PAM, which was defined by risk management practices, performance assessment practices, life cycle management practices, and policy & strategy practices, has become an indispensable element of strategic thinking of asset owners as well as maintenance and asset managers. The purpose of this study is to advance the understanding of how organizations that face high or low level of uncertainty and competitiveness respond in terms of PAM deployment. Methodology/Approach: This study employed a data set based on a large-scale survey among organizations in six European countries (i.e. Slovenia, Poland, Greece, Sweden, Turkey and Slovakia). Data were collected from 138 organizations located in the above-mentioned countries to conduct the study. Findings: The results show that organizations that are faced with high level of uncertainty and competitiveness are more engaged in the deployment of PAM practices. Moreover, results show that when organizations are facing high levels of competitiveness they are using KPIs to a greater extent than organizations under low levels of competitiveness. Originality/value: From a theoretical perspective, this study contributes to the contingency theory by providing empirical evidence whether a context-dependent approach to PAM is needed. The findings also provide insights for managers on how to respond to the competitive pressure as well as how to customize PAM practices in order to adapt to the changes in dynamic organizational environment.

关键词： 网络信息化   高校   外事档案   管理   提升  

摘要： 随着时代的发展与进步,文化交流也日渐频繁。在当下,高校外事交流频繁,这不仅可以发展我国高校的文化,还可以促进社会的和谐发展。然而在发展的同时,外事档案的管理也出现了许多的改变和完善,管理出现了新的困难和挑战。为了保证外事管理高效有序的进行,这就要求了管理者应该着力于发展外事档案的管理系统,提高管理工作人员的工作能力。通过本文的讨论,笔者对网络信息化时代如何做好高校外事档案管理工作的问题做出了分析。

关键词： Contingency management   Smoking cessation   Tobacco use disorder   Alcohol use disorder   Randomized clinical trial  

摘要： Introduction: This randomized clinical trial was designed to evaluate the efficacy of contingency management (CM) for smoking cessation for smokers with alcohol abuse or dependence delivered concurrently with intensive outpatient alcohol treatment. The study also explored the indirect effects of CM smoking treatment and smoking cessation on alcohol and drug use outcomes. Methods: Alcohol abuse/dependent smokers were randomized to cognitive behavioral therapy plus nicotine replacement therapy plus contingency management (CBT + NRT + CM) or to cognitive behavior therapy plus nicotine replacement therapy (CBT + NRT) delivered concurrent with a three-week intensive outpatient alcohol treatment program. Results: Participants in the CBT + NRT + CM condition were significantly more likely to be cigarette abstinent at the end of treatment (chi(2)(1) = 8.48, p=.004) with approximately double the carbon monoxide confirmed quit rate (60%) compared with the CBT + NRT condition (29%). At the one-month and six-month time-points there were nonsignificant differences in smoking abstinence outcomes by condition. Smoking treatment condition did not directly affect alcohol abstinence outcomes, but we observed an indirect effect of smoking treatment on alcohol and drug abstinence at one-month follow-up that was mediated by smoking cessation at the end of treatment. Conclusions: Adding CM to an evidence-based smoking cessation treatment that included medication and behavioral counseling doubled the quit rate at the end of treatment. This finding provides strong evidence for the efficacy of CM for helping alcohol dependent smokers reach the milestone of initial smoking abstinence. Published by Elsevier Inc.

关键词： Incentives   Homelessness   Unstable housing   Non-permanent housing   Sober house   Transitional housing   Recovery housing  

摘要： Use of homeless and transitional housing (e.g., recovery homes) programs can be associated with success in substance abuse treatment, perhaps because many of these programs encourage or mandate sobriety. In this study, we examined whether contingency management (CM) protocols that use tangible incentives for submission of drug-free specimens or other specific behaviors are effective for treatment-seeking substance abusers whose behavior may also be shaped by housing programs. Of 355 participants in randomized trials of CM, 56 (16%) reported using transitional housing during the 12-week treatment period. Main and interaction effects of housing status and treatment condition were evaluated for the primary substance abuse treatment outcomes: a) longest duration of abstinence from alcohol, cocaine, and opioids, b) percentage of samples submitted that were negative for these substances, and c) treatment retention. After controlling for demographic and clinical characteristics, those who accessed housing programs submitted a higher percentage of negative samples (75%) compared to those who did not access housing programs (67%). Housing status groups did not differ in terms of longest duration of abstinence (accessed housing: M = 3.1 weeks, SE = 0.6;did not access housing: M = 3.9 weeks, SE = 03) or retention in substance abuse treatment (accessed housing: M = 6.4 weeks, SE = 0.6;did not access housing: M = 6.6 weeks, SE = 0.3). Regardless of housing status, CM was associated with longer durations of abstinence and treatment retention. No interactive effects of housing and treatment condition were observed (p>.05). Results suggest that those who accessed housing programs during substance abuse treatment benefit from CM to a comparable degree as their peers who did not use such programs. These effects suggest that CM remains appropriate for those accessing housing in community-based programs. (C) 2016 Elsevier Inc. All rights reserved.

关键词： Contingency management   Behavior targets   HIV disease   Health care incentives   Substance use disorders  

摘要： Contingency management (CM) interventions generally target a single behavior such as attendance or drug use. However, disease outcomes are mediated by complex chains of both healthy and interfering behaviors enacted over extended periods of time. This paper describes a novel multi-target contingency management (CM) program developed for use with HIV positive substance users enrolled in a CTN multi-site study (0049 Project HOPE). Participants were randomly assigned to usual care (referral to health care and SUD treatment) or 6-months strength-based patient navigation interventions with (PN + CM) or without (PN only) the CM program. Primary outcome of the trial was viral load suppression at 12-months post-randomization. Up to $1160 could be earned over 6 months under escalating schedules of reinforcement. Earnings were divided among eight CM targets;two PN-related (PN visits;paperwork completion;26% of possible earnings), four health-related (HIV care visits, lab blood draw visits, medication check, viral load suppression;47% of possible earnings) and two drug-use abatement (treatment entry;submission of drug negative UAs;27% of earnings). The paper describes rationale for selection of targets, pay amounts and pay schedules. The CM program was compatible with and fully integrated into the PN intervention. The study design will allow comparison of behavioral and health outcomes for participants receiving PN with and without CM;results will inform future multi-target CM development. (C) 2016 Elsevier Inc. All rights reserved.