Bringing collaboration into the market paradigm

The market competition paradigm assumes that health plans will compete on many factors, including quality of care. Unfortunately, for many reasons health plans have not made a substantial effort to distinguish themselves on quality. The antitrust laws that are designed to protect competition allow selective collaboration among competitors for various purposes, including quality improvement. Within antitrust constraints, specific opportunities exist for competing health plans to collaborate to improve quality. Their success will depend on purchasers' ability to demand such collaborative efforts as part of their overall purchasing strategy.     

Bringing genetic tests into the clinic

The tests tend to become possible soon after the discovery of a disease-related gene. Hence, they often become available before any interventions are known to be effective. They may also arrive before extensive knowledge regarding their clinical validity. To ensure their safe and effective use, physicians must face several issues--in which the crucial point may be not so much that a test is genetic as that it is used predictively.     

Bringing America into the 1980s.

In this article, the author discusses the need to boost America's industrial productivity through wider application of labor-management cooperation, examples of the successful application of cooperative decisionmaking, contributions of organizational and industrial psychologists, and his establishment of the Division of Cooperative Labor-Management Programs in the Department of Labor during 1982. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Twenty-one year mortality in a dialysis unit: changing effect of withdrawal from dialysis

This study was designed in order to assess whether the Iwasaki-Hayashi (IH) catheter can be fixed to the uterine cervix easily and successfully during transcervical fallopian tube recanalization (T-FTR) with fluoroscopic guidance, to try T-FTR in special cases, and to investigate the success rate. The study included 21 infertile women with tubal obstruction, diagnosed by hysterosalpingography examined at least twice to exclude tubal spasm. Using the IH catheter, which proved to be very useful, higher therapeutic efficacy could be obtained. A patient with unilateral proximal tubal obstruction became pregnant following natural fertilization in the fallopian tube which had been recanalized by T-FTR. The success rate of recanalization, the pregnancy rate and the take-home-baby rate were 95.2%/patient, 19.0 and 19.0%, respectively.     

Utilization of token economy within a chronic dialysis unit.

Asked 10 volunteer male hemodialysis patients to participate in a study to evaluate the efficacy of a token economy on promoting dietary adherence as measured by weight and potassium levels. Results indicate that such a behavior modification program may have elicited some degree of patient behavior change, but further research is needed to verify this outcome. Suggestions for subsequent research are discussed. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of a psychosocial program on a dialysis unit.

By actively seeking involvement, psychologists were able to develop an intervention program on a dialysis unit. Significant aspects of the program as well as problems encountered are described, and suggestions are made for the application of this approach to other medical settings. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cold-rolling technologies of advanced high strength steels in Ansteel

Low - carbon becomes a high - frequency and fashionable word which gets the greatest concern in the world.Low - carbon refers to a minimal output of greenhouse gas emissions into the biosphere, specifically refers to the greenhouse gas carbon dioxide.To reduce energy consumption of automobile,more and more high strength steels are used by vehicle companies.To meet the request of vehicle companies, various high strength steels are developed in steel companies all over the world.Ansteel can provide,ultra-low carbon bake hardening(BH) steels,dual phase(DP) steels and transformation - induced plasticity (TRIP) steels with the grades of under 780 MPa,up to now.AHSS steels have much different composition, microstructure and strenght than conventional vehicle steels,so there are some trouble in producing in cold rolling mills,for example,difficult to join,poor thickness and flatness,accurate temperature and velocity control and so on.To reduce the opportunity of strip breakage,we have done many welding experiments and special research.Now,DP and TRIP steels can be continuously produced in Ansteel.To assure thickness and flatness of strips,we optimized the hot rolling parameter to get low deformation resistance,optimized rolling oil to get fit frictional coefficient and fix on the targat rolling curve.To get more accurate and repetitive results over the production shifts,the Mathematical Model(MM) is used in Ansteel.The MM analyses information transmitted by various sensors and transmitters,compares the collected data with the chosen parameters and adjusts the settings of the various pieces of equipment to hone on the parameter setpoints.At present,the key production technologies of AHSS were grasped by cold rolling mill Ansteel,and Ansteel is the first company to apply the TRIP with the grade of 780 MPa.     

现代电渣重熔先进技术特征与演进

 电渣重熔是制备高端特殊钢和合金的关键冶炼工艺,在铸锭质量和成材率方面优势明显。随着中国装备制造业的快速发展,对所用钢及合金的质量和性能要求不断提高,而传统电渣重熔技术面临电耗高、产品质量稳定性差等问题。现代电渣冶金技术的发展核心在于浅平熔池形状的稳定控制和杂质元素的高效去除,目标是更高洁净度、更高凝固质量和更高生产效率。为了让国内冶金工作者了解目前电渣重熔技术的最新发展动态,助力中国电渣冶金技术的开发和应用,综述了近年来国内外相继涌现的先进技术与理论,分析了国内外在相关技术的应用特征和演进方向。中国在电渣炉设备制造、气体保护电渣重熔技术、同轴供电技术和结晶器导电技术方面基本与国际先进水平同步,但尚未形成完善可靠的渣系配置理论、精炼过程的热力学及动力学理论,较国外仍有差距,这已成为限制电渣产品质量提升的主要因素之一。低频电源技术、真空电渣重熔技术和旋转电极电渣重熔技术具有极高的工业化应用前景,需要进一步明确其对工艺过程和产品质量的影响规律。摆动控制已成为国际先进电渣企业的主流控制技术,却是中国电渣炉设备制造的短板,借助在线检测和模拟仿真技术的恒熔池形状控制技术是中国电渣冶金控制技术的发展方向。     

Bringing into use the technique of slag granulation at a near-blast-furnace small-size installation

Translated from Metallurg, No. 7, pp. 28–29, July, 1995.     

Internet information sources for the identification of emerging health technologies. A starting point

The basis of an early warning system for new and emerging health technologies is information, and in particular, information that has been selectively extracted from the huge quantity of data in the fields of medicine, science, and biobusiness. The information will be useful only if presented in a format suitable to the needs of health care decision makers and produced at the time most likely to influence the introduction or diffusion of new technologies. In 1997 the Canadian Coordinating Office for Health Technology Assessment (CCOHTA) began a one-year pilot project to identify and provide information on developments in medical technologies that may have a significant impact on health care in Canada. We began by examining the information available to us through the Internet, based on the assumption that electronic sources can offer more timely access to a greater range of information, often with little or no cost involved. It was important to identify the sites that offered the most relevant information in the least amount of time.     

我国网络银行监管制度初探

网络银行的发展改变了银行的经营方式,它在给我们带来快捷便利的同时,也带来了额外的风险。文章提出应在适当借鉴国际经验的基础上,结合我国网络银行发展的实际情况,构建适应我国网络银行发展需要的监管体系。     

物联网技术及其在钢铁行业应用

对物联网技术及其在钢铁行业的应用进行了综述。内容包括物联网的起源、原始定义及定义的发展、系统的结构,并指出标识和识别、传感网、大数据的存储和处理、信息安全和标准体系是物联网的关键技术;概述了物联网技术在钢铁行业的应用;最后分析蒂森克虏伯钢铁公司的厚板板坯跟踪管理系统、宝钢股份厚板供应链管理系统和宝钢不锈钢有限公司司磅集中监控及智能司磅系统三个典型案例。     

Chronic dialysis in advanced age patients: a reasonable therapeutic alternative?

Thirty two elderly patients (mean age 68.8 +/- 6.95 years) were treated by maintenance hemodialysis or intermittent peritoneal dialysis. 28.1% were diabetics and no survivors in this group were observed after 24 months. Median survival for non diabetic patients was 72.4 months vs 9.03 months in diabetics (p < 0.01). The main cause of death was discontinuation of dialysis (33%) or cardiovascular disease. Thus, chronic dialysis is a reasonable treatment for elderly patients with end stage renal disease. However, diabetes is associated to a poor prognosis.     

Bringing political ecology into critical medical anthropology: a challenge to biocultural approaches

This essay presents an effort to incorporate the "environment" into critical medical anthropology. Rather than relying upon the multifactorial approach characteristic of medical ecology or biocultural approaches in medical anthropology, it urges critical medical anthropologists to turn to the burgeoning literature on eco-Marxism, eco-socialism, or political ecology in their efforts to develop a political ecology of health. Given that political ecologists generally advocate democratic eco-socialism as a meaningful alternative to the capitalist world system, this essay also presents a critical examination of the environmental record of post-revolutionary societies.