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关键词： Socio-economic status   Income   Substance abuse treatment   Contingency management   Patient characteristics   Treatment outcome  

摘要： Background: Prior studies find no effect of baseline income on response to contingency management (CM) interventions. However, income among substance disordered patients is variable, particularly at treatment entry. This study investigated the impact of during-treatment income, a more proximal estimate of economic resources at the time that CM is in effect, on response to standard treatment or the standard treatment plus CM. Method: These secondary analyses included 418 cocaine dependent participants initiating community intensive outpatient treatment. We examined whether differences were present in pretreatment and during-treatment overall income, as well as specific income sources. We then conducted a series of regression models to investigate the impact of during-treatment income on treatment outcome. Results: Participants' during-treatment income was significantly lower compared to pretreatment income, and this difference was largely attributable to decreases in earned income, illegal income, and support from friends and family. Neither the main effect of income, nor the interaction of income and treatment condition, was significantly associated with treatment outcome. CM, however, was a significant predictor of improved treatment outcome relative to standard treatment. Income sources and some demographic characteristics were also significant predictors of outcomes;public assistance income was associated with improved outcomes and illegal income was associated with poorer outcomes. Conclusions: These results suggest that substance abusers benefit from CM regardless of their income level, and these data add to the growing literature supporting the generalizability of CM across a variety of patient characteristics. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

关键词： 高校   外事档案   管理  

摘要： 在目前高校对外交流日益频繁的形势下，高校外事档案无论是内容还是载体表现形武上都发生了很大地变化，呈现出许多新的特点。本文作者从外事档案的重要性谈起，分析了目前高校外事档案管理所面临的各种问题，并提出了相对应的解决策略。

关键词： 国家中医药管理局   外事工作   中医药科技   两岸四地   生物制品   医疗器械   代表团  

摘要： 2013年10月14日接待两岸四地中医药科技中心代表团； 2013年10月15日参加美国驻华使馆招待会； 2013年10月16日马建中会见波兰药品、医疗器械和生物制品注册总局代表团来访；

关键词： 国家中医药管理局   外事工作   学术研讨会   中药研发   巴基斯坦   理事会   中药业   香港  

摘要： ★2013年9月1日参加香港中药业协会第三届理事会活动； ★2013年9月5日参加香港创新科技署中药研发研讨会； ★2013年9月6日王笑频司长参加中国巴基斯坦学术研讨会；

关键词： Contingency management  

摘要： The primary aim of this study was to determine whether different durations of contingency management (CM) in conjunction with psychosocial treatment produced different rates of abstinence among methamphetamine dependent individuals. Participants were randomized to one of the four 16-week treatment conditions: standard psychosocial treatment or psychosocial treatment plus one of the three durations of CM (one-month, two-month, or four-month). A total of 118 participants were randomized to the four treatment conditions. There were significant differences across treatment conditions for number of consecutive days of methamphetamine abstinence (p < 0.05). These differences were in the hypothesized direction, as participants were more likely to remain abstinent through the 16-week trial as CM duration increased. A significant effect of treatment condition (p < 0.05) and time (p < 0.05) on abstinence over time was also found. Longer durations of CM were more effective for maintaining methamphetamine abstinence. (C) 2013 Elsevier Ltd. All rights reserved.

关键词： Contingency management   Training   Workshops   Substance use disorders   Implementation   Clinicians  

摘要： In 2011, the Veterans Administration called for nationwide implementation of contingency management (CM) in its intensive outpatient substance use disorders treatment programs, and this study evaluated the impact of the initial 1 and 1/2 day training workshops on knowledge and perceptions about CM among. 159 clinical leaders from 113 clinics. Workshop attendance significantly increased CM-related knowledge (d = 1.88) and changed attendees' perceptions of CM (ds = 0.26-0.74). Endorsement of barriers to CM adoption decreased and positive impressions of CM increased. These perceptions about CM emerged as key correlates of post-training preparedness to implement CM. Results suggest that training workshops can be an effective avenue for increasing CM-related knowledge, as well as addressing persistent misperceptions about CM that may impede adoption efforts. Continued efforts to introduce educational materials and offer training and consultation opportunities may increase understanding about this evidence-based intervention among clinicians, thereby leading to improved patient outcomes. (C) 2013 Elsevier Inc. All rights reserved.

关键词： SUBSTANCE-induced disorders   MENTAL health   MENTAL illness   MENTAL health facilities   ENTHUSIASM   CLINICAL trials   TREATMENT  

摘要： Background: Emerging evidence supports the effectiveness of contingency management (CM) for addictions treatment among individuals with co-occurring serious mental illness (SMI). Addiction treatment for people with SMI generally occurs within community mental health centers (CMHCs) and it is not known whether CM is acceptable within this context. Client views regarding CM are also unknown. Objectives: This study is the first to describe CM acceptability among CMHC clinicians, and the first to explore client views. Clinician-level predictors of CM acceptability are also examined. Methods: This study examined views about CM among 80 clinicians and 29 clients within a CMHC within the context of a concurrent CM study. Results: Three-quarters of clinicians reported they would use CM if funding were available. Clinicians and clients affirmed that incentives enhance abstinence motivation. Clinician CM acceptability was related to greater years of experience, and identifying as an addictions or co-occurring disorders counselor, more than a mental health clinician. Conclusions: The findings provide preliminary evidence that CMHC clinicians, serving clients with addictions and complicating SMI, and client participants in CM, view CM as motivating and a positive tool to facilitate recovery. Scientific Significance: As an evidence-based intervention, CM warrants further efforts toward funding and dissemination in CMHCs.

关键词： 国际   外事   管理  

摘要： 外事对于管道局国际事业部的员工而言是每个人都会涉及到的领域，因此外事管理便是一项不可或缺的课题。了解外事、了解外事管理对我们拓展海外市场、开发国际项目有着很大的帮助作用。结合国际事业部的实际情况，对外事纪律、外事管理基本原则、外事机构和人员管理、项目部人员出入境管理等一一做了简单的剖析，让不论是在海外还是在国内的员工们熟悉外事管理。

关键词： 卫生外事   档案管理   合作交流   工作特点   管理现状  

摘要： 卫生外事档案管理工作是现在卫生事业对外交流中的一项重要工作,对促进各国卫生事业的交流、发展各国人民之间的友谊有着很重要的意义。卫生外事档案是国内卫生部门与国外卫生事业有关部门进行学术交流、友好交往等活动的原始记录,包括具有重要学术价值的图表、文稿、视频录像以及人物专访等材料,为各国卫生事业的发展提供了重要的科学依据。本文就我国的卫生外事档案管理工作中存在的一些问题以及应该采取的措施进行了分析,希望能给从事卫生外事档案管理工作的朋友们带来一些帮助。

关键词： 国家中医药管理局   外事工作   海峡两岸   健康产品   卫生局   工作组   代表团   展览会  

摘要： ★2013年8月1日海峡两岸卫生会议中医药工作组第三次会议在京召开；★2013年8月12日接待香港食物及卫生局高永文局长代表团；★2013年8月15日李大宁副局长率团出席香港现代化中医药及健康产品展览会；