奥巴马政府对朝政策的新理念及其走向

奥巴马政府上台后,其主要致力于应对金融危机和反恐战争.对朝政策上,其在"巧实力"外交理念的指导下,寻求在外交、经济、军事、政治、法律和文化等所有政策工具中选择正确的工具或组合.针对朝核问题的敏感性和脆弱性,奥巴马政府倾向于"冷处理",继而"多管齐下",在合作外交的框架内展开更加灵活的外交活动,促使朝鲜重返六方会谈,继续以对话方式处理相关问题,不过美国也适度增强了对朝鲜的威慑力量,奥巴马政府仍对美朝关系正常化持一种谨慎态度.     

找准加快发展的突破口 推动阿勒泰经济社会又好又快发展

按照科学发展观的要求，从阿勒泰地区的实际出发，为了实现经济发展方式的根本转变，推动地区经济社会实现又好又快发展，应努力实现“新区建设、牧民定居、优势资源深加工”三大突破，以增加财政收入和农牧民人均纯收入为主线，努力做好“工业强区、投资拉动、项目先行、引大扶强”等重点工作。     

80岁以上脑卒中偏瘫患者康复治疗临床观察

目的探讨康复治疗对80岁以上脑卒中偏瘫患者的效果。方法对2008年7月至2009年6月本院老年康复科住院80岁以上脑卒中偏瘫患者66例进行分析总结，设定为治疗组33例，并与病区内未进行康复治疗的该类患者33例（对照组）比较，同时-9随机抽取的病区内低于80岁的中老年人脑卒中偏瘫患者康复治疗30例（年轻治疗组）比较。结果治疗组与对照组比较，治疗组肢体功能好转度Brunstrom分级优于对照组，P〈0．001。Barthel指数改善优于对照组，P〈0．001。高龄治疗组与年轻治疗组比较，肢体功能好转度与Barthel指数改善程度无明显差别，P〉0．05。结论康复治疗对80岁以上脑卒中偏瘫患者生活质量有明显提高作用，对高年脑卒中偏瘫患者也应该积极进行康复治疗。     

Exploratory Study on Drug Users’ Perspectives on Quality of Life: More than Health-Related Quality of Life?

In drug treatment outcome literature, a focus on objective and socially desirable indicators of change (e.g. no drug use) has predominated, while outcome indicators that are important for drug users themselves (e.g. quality of life, satisfaction with treatment) have largely been neglected. Nonetheless, Quality of Life (QoL) has become an important concept to evaluate effectiveness of treatment in mental health care research and disability studies. Given the almost exclusive focus on Health-related Quality of Life (HRQOL) in substance abuse research and the neglect of clients’ perspectives in this field, we explore in this study the concept of QoL as perceived by drug users. Focus group discussions (n = 9) were organised in various treatment settings and community services for drug users in the region of Ghent, Belgium to identify important dimensions of QoL and their interpretation by drug users. Data were clustered and analysed based on the theoretical framework of Robert Schalock (Quality of life. Volume 1: Conceptualization and measurement, 1996). The domains ‘personal relationships’, ‘social inclusion’ and ‘self-determination’ were discussed most frequently by the participants. They stressed the importance of a supportive social network in particular. It can be concluded that QoL is not primarily associated by drug users with health and it involves much more than the aspects typically represented in measures of HRQOL.     

絮凝床在茂名热电厂含油污水处理系统中的应用

絮凝床是中山大学开发的一种新型水处理设备．这种水处理技术在我省已用于包括含动、植物油类的污水处理工程中，１９９６年我院首次把这种设备用于茂名热电厂合油（矿物油）污水处理，工程建成投产以来取得了令人满意的效果。     

我国经济欠发达地区农村社会养老保险制度的构建

与发达地区相比，我国经济欠发达地区农村养老保险发展十分缓慢，覆盖面极其有限。实际上，经济欠发达地区的农民最需要社会养老保险，因为他们的基本生活需求没有保证，这些地区未富先老特征更为明显，传统的保障功能在弱化。然而，源于农民收入低，增长慢，支付保险费的能力弱；集体经济薄弱，无法为农民养老保险提供资金支持；地方财力单薄，难以全面提供以政府为主的养老基金融资；经济欠发达地区农民获得社会养老保险能力又最弱。为此，应将经济欠发达地区农村社会养老保险作为建设覆盖城乡居民社会保障体系的推进重点，变政府扶持为财政拨款，并向经济欠发达地区倾斜；大力进行宣传教育，让农民充分了解参加社会养老保险的必要性。     

Unifying CRM and EWOC designs for phase I cancer clinical trials

The main goal of phase I cancer clinical trials is to determine the highest dose of a new therapy associated with an acceptable level of toxicity for the use in a subsequent phase II trial. The continual reassessment method (CRM) [O’Quigley, J., Pepe, M., Fisher, L., 1990. Continual reassessment method: a practical design for phase I clinical trials in cancer. Biometrics 46, 33–48] and escalation with overdose control (EWOC) [Babb, J., Rogatko, A., Zacks, S., 1998. Cancer phase I clinical trials: efficient dose escalation with overdose control. Statist. Med. 17 (10), 1103–1120] are two model-based designs used for phase I cancer clinical trials. A few modifications of the (original) CRM and EWOC have been made by many authors. In this paper, we show how CRM and EWOC can be unified and present a hybrid design. We study the characteristics of the approach of the hybrid design. The comparisons of the three designs (CRM, EWOC, and the hybrid design) are presented by convergence rates and overdose proportions. The simulation results show that the hybrid design generally has faster convergence rates than EWOC and smaller overdose proportions than CRM, especially when the true maximum tolerated dose (MTD) is above the mid-level of the dose range considered. The performance of these three designs is also evaluated in terms of sensitivity to outliers.     

Cognitive-Behavioral Therapy for Bipolar Disorder: Implications for Clinical Social Workers

ABSTRACT

The purposes of this review article are to orient clinical social workers to cognitive-behavioral theory, intervention, and research on bipolar disorder (BD); identify pros and cons of applying cognitive-behavioral therapy (CBT) to social work clients with BD; and identify specific implications for clinical social work practice. Of the 545 articles that were obtained via the systematic review, 18 studies were identified as being potentially eligible for inclusion, and 9 of those studies ultimately satisfied the inclusion criteria. The results of each study were summarized via identifying statistically significant (p< .05) differences that existed between experimental cohorts who received CBT (plus pharmacotherapy) and control cohorts who received treatment as usual. Outcomes showed CBT cohorts as having significant improvement over their respective control groups. The review's implications for clinical social workers and the need for future research are discussed.     

Narratives of Low-Income Mothers in Addiction Recovery Centers: Motherhood and the Treatment Experience

ABSTRACT

This study examines the narratives shared by low-income women in addiction recovery centers about the meaning they attach to being a parent in recovery and how they view current program models that include children in daily treatment. Their stories reflect the centrality of the mothering role to women in recovery and offer insights that can guide treatment and program planning with families.     

The Role of Social Workers in the Treatment of Addictions

Abstract

This article describes the history of social workers' involvement in the treatment of addictions in the United States. Beginning with Mary Richmond, the “mother of social casework,” social workers have played an increasingly important role in the treatment of individuals with alcohol and other drug problems and of their family members. Today, social workers are important players not only in program development, administration, and treatment of chemical addictions, but also in “process” addictions, such as eating disorders and gambling. Moreover, social workers are increasingly involved in addictions research and policy arenas.