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关键词： 国家中医药管理局   外事工作   针灸学会   副部长   王国强   代表团   加拿大  

摘要： 2012年6月3日王国强副部长在京会见香港卫生署林秉恩署长一行； 2012年6月5日王国强副部长在京会见加拿大中医药针灸学会代表团；

关键词： 规范化   护理管理   血液透析   意外事件  

摘要： 目的:探讨规范化护理管理对血液透析治疗中意外事件发生率的影响。方法:在血液净化中心对环境、人员、急救药品和物品、工作制度和流程、健康教育等方面实施规范化护理管理,比较实施前后意外事件的发生率。结果:规范化护理管理实施前的2007年-2009年发生意外事件27例,发生率为0.25%;实施后2009年-2011年发生意外事件9例,发生率为0.06%,差异有统计学意义(p<0.01)。结论:规范化护理管理对血液透析治疗中意外事件的发生作用明显。

关键词： PREVENTION of HIV infections   ANTIVIRAL agents   SUBSTANCE abuse treatment   EMTRICITABINE-tenofovir (Drug)   CONFIDENCE intervals   DRUGS   EPIDEMIOLOGY   GAY men   LONGITUDINAL method   METHAMPHETAMINE   PATIENT compliance   PREANESTHETIC medication   PSYCHOLOGICAL tests   REGRESSION analysis   FINANCING of research   REWARD (Psychology)   RISK-taking (Psychology)   T-test (Statistics)   PILOT projects   DATA analysis   BEHAVIOR modification techniques   DATA analysis software   DESCRIPTIVE statistics   THERAPEUTIC use  

摘要： Methamphetamine use has been associated with HIV transmission among men who have sex with men (MSM). However, providers have been hesitant to utilize post-exposure prophylaxis (PEP) in populations of stimulant users. This single-arm, open label pilot study sought to demonstrate the safety, feasibility, and acceptability of PEP combined with the drug abstinence intervention of contingency management (CM) in methamphetamine-using MSM. HIV-uninfected MSM reporting recent methamphetamine use were recruited to a CM intervention. Those who reported a recent high-risk sexual or injection drug exposure to an HIV-infected or serostatus unknown source were initiated on tenofovir/emtricitabine (Truvada)-based PEP. Participants were followed over 3 months for infectious/biologic, behavioral, and drug use outcomes. Fifty-three participants enrolled in the study;35 participants (66%) initiated PEP after a high-risk exposure. The median time from exposure to medication administration was 37.8 h (range 12.5-68.0 h). Twenty-five (71.4%) PEP initiators successfully completed the treatment course. Median medication adherence was 96% (IQR 57-100%), and medication was generally well tolerated. Methamphetamine abstinence during CM treatment increased PEP adherence (2% [95% CI + 1-+ 3%]) per clean urine toxicology sample provided), and increased the odds of PEP course completion (OR 1.17, 95% CI 1.04-1.31). One incident of HIV seroconversion was observed in a participant who did not complete PEP treatment, and reported multiple subsequent exposures. Findings demonstrate that PEP, when combined with CM, is safe, feasible, and acceptable as an HIV prevention strategy in methamphetamine-using MSM.

关键词： projects   project management   temporary organization   contingency theory   contingency factors   bibliometric study  

摘要： Contingency theory has influenced organization theory since the 1950s. Project management research has only recently started to consider context factors. In this area, applications of contingency theory still represent a fragmented field with a nonuniform use of terminology. Fully utilizing the contingency theory approach requires a systematic foundation. This article presents an overview of contingency theory in both permanent and temporary organizations. In a bibliometric study based on 1,622 articles from four academic project management journals, we identify dominating authors, prevalent keywords, and different focal areas in project contingency theory as well as the most researched project types.

关键词： Contingency management   Treatment dissemination   Translational research   Cocaine dependence   Methamphetamine use disorders  

摘要： This study empirically examined opinions of treatment providers regarding contingency management (CM) programs while controlling for experience with a specific efficacious CM program. In addition to empirically describing provider opinions, we examined whether the opinions of providers at the sites that implemented the CM program were more positive than those of matched providers at sites that did not implement it. Participants from 7 CM treatment sites (n = 76) and 7 matched nonparticipating sites (n = 69) within the same nodes of the National Institute of Drug Abuse Clinical Trials Network completed the Provider Survey of Incentives (PSI), which assesses positive and negative beliefs about incentive programs. An intent-to-treat analysis found no differences in the PSI summary scores of providers in CM program versus matched sites, but correcting for experience with tangible incentives showed significant differences, with providers from CM sites reporting more positive opinions than those from matched sites. Some differences were found in opinions regarding costs of incentives, and these generally indicated that participants from CM sites were more likely to see the costs as worthwhile. The results from the study suggest that exposing community treatment providers to incentive programs may itself be an effective strategy in prompting the dissemination of CM interventions. (C) 2012 Elsevier Inc. All rights reserved.

关键词： 国家中医药管理局   外事工作   国际疾病分类   传统医学   世卫组织   战略研讨  

摘要： ★2012年5月2～5日参加在香港召开的世卫组织传统医学国际疾病分类项目工作会； ★2012年5月4日在京召开“中医药海外发展战略研讨会”；

关键词： Contingency management   Therapist   Community clinics   Training  

摘要： Background: Few community-based clinicians have been trained to deliver contingency management (CM) treatments, and little data exist regarding the efficacy of CM when administered by clinicians. Method: Fifteen clinicians from four intensive outpatient treatment programs received training in CM. Following a didactics seminar and a period in which clinicians delivered CM to pilot patients while receiving weekly supervision, clinicians treated 43 patients randomized to standard care or CM, without supervision. In both treatment conditions, urine and breath samples were collected up to twice weekly for 12 weeks, and CM patients earned the opportunity to win prizes ranging in value from $1 to $100 for submitting drug-free samples. Primary treatment outcomes were sessions attended, unexcused absences, longest continuous period of abstinence, and proportion of negative samples submitted. Results: All therapists completed the training and supervision phase, and 10 treated randomized patients. Patients randomized to CM achieved significantly greater durations of abstinence than patients randomized to standard care (5.0 +/-3.8 weeks versus 2.6 +/- 3.7 weeks) and had fewer unexcused absences (4.3 +/- 1.2 versus 8.1 +/- 5.4), but proportion of negative samples submitted and attendance did not differ significantly between groups. Therapist adherence and competence in CM delivery decreased when supervision was no longer provided, and competence in CM delivery was associated with duration of abstinence achieved and attendance. Conclusions: Community-based clinicians can effectively administer CM, and outcomes relate to competence in CM delivery. These data call for further training and supervision of community clinicians in this evidence-based treatment. (C) 2011 Elsevier Ireland Ltd. All rights reserved.

关键词： 科研院所   外事管理工作   可持续  

摘要： 科研院所外事管理工作是科研院所建设中扩大知名度、提高科研水平、增强竞争力的一个重要组成部分。外事管理工作的开展密切围绕着科研院所发展战略，对广泛开展国际交流与拓宽交流渠道，积极争取引进国内外的先进技术与管理方法，吸取国内外先进的管理经验有着重要的影响。本文浅谈科研院所外事管理工作，旨在探讨开拓外事管理工作可持续发展的新局面。

关键词： 国家中医药管理局   外事工作   后基因组时代   传统中医药   医学领域   备忘录   代表团   柬埔寨  

摘要： ★2012年4月7日王国强副部长会见柬埔寨代表团并签署中柬传统医学领域合作谅解备忘录； ★2012年4月10日于文明副局长会见ISO副主席伊莉莎白·布拉拉博士； ★2012年4月11-18日王笑频司长赴荷兰出席欧盟“第七框架计划中的后基因组时代传统中医药研究的良好实践”（FP7／GP-TCM）总结大会，并赴卢森堡访问国家健康研究院；

关键词： Contingency management   Implementation science   Transportability  

摘要： Aims: Extant literature on contingency management (CM) transportability, or its transition from academia to community practice, is reviewed. The Consolidated Framework for Implementation Research (CFIR: Damschroder et al., 2009) guides the examination of this material. Methods: Psychlnfo and Medline database searches identified 27 publications, with reviewed reference lists garnering 22 others. These 49 sources were examined according to CFIR domains of the intervention. outer setting, inner setting, clinicians, and implementation processes. Results: Intervention characteristics were focal in 59% of the identified literature, with less frequent focus on clinicians (34%), inner setting (32%), implementation processes (18%), and outer setting (8%). As intervention characteristics, adaptability and trialability most facilitate transportability whereas non-clinical origin, perceived inefficacy or disadvantages, and costs are impediments. Clinicians with a managerial focus and greater clinic tenure and CM experience are candidates to curry organizational readiness for implementation, and combat staff disinterest or philosophical objection. A clinic's technology comfort, staff continuity, and leadership advocacy are inner setting characteristics that prompt effective implementation. Implementation processes in successful demonstration projects include careful fiscal/logistical planning, role-specific staff engagement, practical adaptation in execution, and evaluation via fidelity-monitoring and cost-effectiveness analyses. Outer setting characteristics-like economic policies and inter-agency networking or competition-are salient, often unrecognized influences. Conclusions: As most implementation constructs are still moving targets, CM transportability is in its infancy and warrants further scientific attention. More effective dissemination may necessitate that future research weight emphasis on external validity, and utilize models of implementation science. Published by