Meningococcal serogroup B outbreak response University of Wisconsin-Madison

A meningococcal serogroup B (MenB) outbreak at a large public university prompted an emergency response to immunize undergraduates. Objective: To report on a successful meningococcal serogroup B (MenB) vaccine clinic response at a large public university. Methods: We assembled the team leaders to write this case report. Results: Activation of the emergency plan and points of dispensing required cooperation of many units on campus under the leadership of university health officials with support from Centers for Disease Control and Prevention, state division of public health and the city-county health department. Significant efforts to provide consistent messages to students and parents regarding the outbreak and the availability of the MenB vaccines were made. Volunteers were recruited to staff the clinics alongside university healthcare providers. Over 22,000 doses of vaccine were administered. Conclusion: We report our experience and lessons learned which may be helpful to universities in preventing and responding to disease outbreaks.     

蠕动式点胶机的精确点胶研究

为了改善传统点胶机不易控制流量的问题,在分析蠕动泵的基础上,建立蠕动泵的模型并进行理论流量的推导;然后对蠕动泵的步进电机进行分析,提出采用ATmega2560微控制器外接驱动器A4988细分驱动技术方案,对蠕动泵步进电机控制系统进行设计;对单个点胶过程提出采用S型曲线规划Z轴的运动,实验证实采用蠕动泵进行点胶达到了良好的点胶效果,本研究提高了点胶质量。     

医药分业困境与改革对策研究

本文对我国医疗、医药市场主体的制度偏好及通过分业实现医疗、医药产业协调发展存在的困境提出了一个基于利益相关者行为的解释.通过分析认为.医药分业时于打破医疗机构在药品购销产业链中的垄断地位、实现医疗市场和医药市场的充分竞争、促进医疗产业和医药产业协调有序发展、减轻患者负担、维护人民群众生命健康意义重大.但由于补偿机制不健全、医疗服务递送体系缺乏、医疗保险支付制度不完善等问题.我国医药分业难以实现上述目标.要通过医药分业,实现医疗与医药产业的协调发展,必须完善相关制度建设.     

教研交互策略在药学类学生科研素养建设中的实践与启示——以福建某医科大学药学类专业教学为例

“培养一流创新人才，产出一流科研成果”和提高“教学科研和社会服务的水平”是创建“双一流”高等院校的重要宗旨。文章从提高本科生科研素养角度，阐述教研交互策略在药学类学生科研素养建设中的实践与启示。该“教研交互”教学法是通过基于与分析化学课程群教学融合，增加科研实践平台和启蒙、长周期、延续性的科研教学内涵，机会，可有效提高学生科研素养水平。强化了学生在教学过程的延续获益，有效提高学生科研素养水平，同时促进学科改革，教学相长。     

A model-guided process evaluation: Office-based prescribing and pharmacy dispensing of methadone

This article presents an exemplar of a model-guided process evaluation that specifies the treatment model, assesses its implementation, monitors the fidelity of the model throughout the project, assesses model exposure and absorption, and helps understand the program's intermediate effects (proximal outcomes) as well as final effects (distal outcomes). The New Mexico study on office-based prescribing and community pharmacy dispensing of methadone is a research demonstration project that phases a small group of female methadone maintenance patients out of methadone clinics and into a program where they will obtain their scheduled doses of methadone at pharmacies that work in collaboration with physicians and a social worker.The patient's methadone treatment will in this way become part of their overall health care. Early detection of problems of implementation (e.g., the omission of program content or the delivery of inaccurate information) enables the researcher to make adjustments before the problems become unmanageable and the integrity of the original research design is compromised. A model-guided process evaluation can critically inform health services research demonstrations designed for enabling continuous, ongoing feedback and improvement of client-related services.     

北宋熙宁内诸司及其行政秩序——以参与接待成寻的御药院和客省为中心之考察

熙宁五年十月,日僧成寻一行来到东京,居停数月。其间御药院宦官履行迎伴职责,而由客省、閤门等机构办理其朝见、朝辞等事宜。御药院与客省、閤门等内诸司机构在接待成寻过程中的角色及其办理相关事务之流程,不仅可以清晰地显示其在接待方面的具体职责和业务分工,而且在一定程度上呈现出神宗熙宁时,乃至整个北宋时相关行政的日常秩序。成寻之入宋、御药宦官频频出场、客省等机构之职责及行政效能,表面上看来都有些非同寻常,但若结合制度源流、北宋政治与对外交往之特征等问题加以考察,似乎又都是那么平常。     

Preparation of chemotherapy drugs: Planning policy for reduced waiting times

This study investigates the impact of pharmacy policies on patient waiting time in the Chemotherapy Day Unit of the Netherlands Cancer Institute—Antoni van Leeuwenhoek hospital. The project evaluated whether a reduction in waiting time resulting from medication orders being prepared in advance of patient appointments was justified, given that medications prepared in advance are wasted when patients arrive too sick for treatment. Within this context, we derive analytic expressions to approximate patient waiting times and wastage costs, allowing management to see the tradeoff between these two metrics for different policies. Using a case study and a simulation model, the approximations are evaluated. The use of analytic expressions allows the analysis to be easily repeated when medication costs change or when new medications/protocols are introduced. In the same vein, other hospitals with different patient case mixes can easily complete the analysis in their settings. Finally, the outcome from this study resulted in a new policy at the cancer center which is expected to decrease the waiting time by half, while only increasing pharmacy's costs by 1-2%.