中药饮片产业链发展现状及法规体系探讨

本文结合近年来中国中药饮片产业链的发展现状及相应法规体系建设的发展状况,从产业链的角度对中药材种植、中药饮片生产加工、商业流通及终端消费市场现状进行分析,结合各相关环节的法规体系设置及监管成效,反映中药饮片发展面临的主要问题,在此基础上提出出中药饮片行业发展的监管政策法规体系取向建议.     

药品零售领域DTP营销模式探析

目的:探索药品零售领域DTP营销模式。方法:通过对DTP模式内涵和特点描述研究,归纳该模式的优势和挑战,并对药品零售企业开展DTP模式提出建议。结果:DTP模式能够促进药品零售企业发展,但存在很多问题,需要在实践中不断探索。结论:药品零售企业需要国家调整政策,增加投入,加快集中化发展,并实施新型交易形式等措施才能促进DTP模式实施与发展。     

Proposals for leflunomide use to avoid lung injury in patients with rheumatoid arthritis

Among the 5,043 consecutive patients registered in the postmarketing surveillance for leflunomide, 61 were reported to have lung injury and 24 died from it. The adjusted multivariate logistic regression analysis of the risk factors showed that preexisting interstitial lung disease posed the greatest risk, as well as loading dose, smoking history, and low body weight of 40 kg or less with odds ratios of 8.17, 3.97, 3.12, and 2.91, respectively. In 12 patients, lung injury developed even 2 months after leflunomide withdrawal. When patients with (n=9) and without (n=13) fatal outcome were compared, eight out of the former, and six out of the latter had preexisting interstitial lung disease; the former showed severe hypoxemia, high serum C-reactive protein level, hypoalbuminemia, and continuous lymphocytopenia, and required mechanical ventilation. On the basis of these results and literature review, the committee proposes that leflunomide should only be recommended as a second-line drug, should not be administered to patients with preexisting interstitial lung disease, should also not be administered to patients with smoking history or those with low body weight, and should be administered without loading dose. Careful monitoring is necessary, and when lung injury develops, leflunomide elimination using colestyramine is mandatory.     

发挥大学生先进典型的榜样示范作用——《突破大学五十五道侃》对当前思想政治教育工作的启示

通过分析当前高校思想政治教育工作存在的弊端与不足，以《突破大学五十五道侃》中所体现出的思想政治教育新思维、新方法为例，指出充分发挥榜样示范教育作用、采用多种形式、注重学科交叉、贴近学生生活等若干思想政治教育的新启发。     

从公正性角度谈我国高校教师评价

高校教师进行评价最重要的评价原则是保持公正性.当前我国高校在教师评价方面存在着短期化和一刀切等违背公正性原则的倾向.针对上述问题,本文提出放宽评价标准、设立败者复活制度、增加评审委员人数等解决办法.