Research on the Problems and Countermeasures of the Landing of Negotiated Drugs

Objective To provide reference for better landing of the negotiated drugs in the future.Methods Relevant data on the negotiated drugs in designated medical institutions and retail pharmacies from the website of the Medical Security Bureau was obtained,and then the allocation and problems of negotiated drugs were summarized and analyzed.Results and Conclusion The main problem for the landing of negotiated drugs is the difficulty of using them in medical institutions.First,there is a small number of designated medical institutions that can use some negotiated drugs.Second,the negotiated drugs vary greatly in the designated medical institutions.Lastly,some designated retail pharmacies do not supply the negotiated drugs.The difficulties in using the negotiated drugs can include subjective reasons and objective reasons.Retail pharmacies are not the official places where patients can use the negotiated drugs.Besides,if medical institutions do not supply and use negotiated drugs,it will pose a great risk to drug safety.Negotiated drugs should be used in designated medical institutions ultimately,which is conducive to safeguarding the rational drug use for patients.

Negotiated Complexity: Framing Multi-Criteria Decision Support in Environmental Health Practice

The complexity we take into account when dealing with complex issues and the way we deal with that complexity is not given or self-evident, it is framed and negotiated. Based on two environmental health decision support case studies we address a set of key methodological choices, crucial in shaping the multi-criteria decision support and illuminate how they followed from transdisciplinary collaboration and negotiation: diversity tolerance, dealing with uncertainty and difference of opinion, weight of information and the epistemological divide between traditional closed and alternative open paradigms. The case studies exemplify the growing conviction amongst methodologists that, especially regarding complex issues, best methods do not exist as such: methods are chosen and tailored in practice and the quality to a large extent is dependent on the process in which methodological development is embedded. We hope to contribute to making explicit the importance of methodological decision making regarding environmental health complexity.

Implementing Conferences in College English Writing Class: The Effects of the Negotiated Input

The current study is to examine the interactional effects of writing conferences focusing on negotiated patterns of revision in a college English writing class. Fifteen participants were required to write six persuasive essays to attend three separated one-on-one conference session with the teacher. The conference transcripts were analyzed to determine the level of students negotiated input in the conferences. Findings from the study indicated that the amount of negotiations and the analytic scores appeared to be correlated significantly in the subsequent drafts. The researcher also discovered that students needed explicit guidance and extensive training before participating in actual conference sessions, which would help cultivate independent thinking and writing instructions for the students.

RESEARCH ON NEGOTIATED TEACHING AND LEARNING IN CLASSROOM DECISION MAKING

This paper deals with the hypothesized problems or difficulties in the practice of negotiated teaching and learning in classroom decision-making, and with the solutions to them. Negotiation in teaching and learning has great elicitation of the reform of college English teaching, which involves the joint participation in classroom-decision-making, new teaching perspectives, and new designs of teaching modes.

Stepping up after spinal cord injury:negotiating an obstacle during walking

Every day walking consists of frequent voluntary modifications in the gait pattern to negotiate obstacles.After spinal cord injury,stepping over an obstacle becomes challenging.Stepping over an obstacle requires sensorimotor transformations in several structures of the brain,including the parietal cortex,premotor cortex,and motor cortex.Sensory information and planning are transformed into motor commands,which are sent from the motor cortex to spinal neuronal circuits to alter limb trajectory,coordinate the limbs,and maintain balance.After spinal cord injury,bidirectional communication between the brain and spinal cord is disrupted and animals,including humans,fail to voluntarily modify limb trajectory to step over an obstacle.Therefore,in this review,we discuss the neuromechanical control of stepping over an obstacle,why it fails after spinal cord injury,and how it recovers to a certain extent.

CIIS President Meets with UN General Assembly Co-Chairs of Intergovernmental Negotiations on Security Council Reform

On February 28,CIIS President Chen Bo,along with scholars in relevant fields,met with Co-chairs of the Intergovernmental Negotiations on the United Nations Security Council Reform of the 78th session of the UN General Assembly,Permanent Representative of Kuwait to the UN Tareq M.A.M.Albanai and Permanent Representative of Austria to the UN Alexander Marschik.

基于史密斯政策执行过程模型的国家医保药品目录准入谈判罕见病药品落地问题及路径研究

目的基于史密斯政策执行过程模型的国家医保药品目录准入谈判(以下简称“国谈”)罕见病药品落地的关键和难点,探索罕见病药品在进入国家基本医疗保险和工伤保险药品目录后政策实施过程中存在的问题并提出对策建议。方法通过文献复习和政策梳理、专家访谈、焦点小组访谈收集资料,结合史密斯政策执行过程模型的理论框架从多角度探索国谈罕见病药品政策执行情况的现状、问题以及解决方案。结果目前我国罕见病药品行业管理尚处于初级阶段;医疗服务提供方在意识、管理等方面仍存在不足;罕见病药品保障渠道有待优化,医疗保险支付机制尚不完善。结论建议进一步加强行业管理,提升罕见病用药保障;加强医疗服务提供方能力建设,取消罕见病用药考核限制;畅通罕见病用药保障渠道,完善医疗保险支付机制。

国家医保谈判对公立医院抗肿瘤药物采购费用、数量及结构的影响:以EGFR-TKI靶向药物为例

目的分析国家医保药品目录准入谈判(以下简称“国谈”)政策对某省公立三级医院非小细胞肺癌EGFRTKI靶向药物采购费用、数量及结构的影响,为相关政策制定提供依据。方法收集2018年1月—2020年12月某省公立三级医院EGFR-TKI靶向药物每月采购数据,利用中断时间序列模型分析采购费用、数量、药品结构及日均费用的变化趋势。结果阿法替尼、奥希替尼、吉非替尼、埃克替尼、厄洛替尼5种EGFR-TKI靶向药物总体采购量及费用以稳定为主,2018年国谈准入品种采购量及费用上升。5种EGFR-TKI靶向药物药品结构变化明显,呈即刻上升趋势;各品种日均费用出现不同程度的下降。结论国谈政策的实施增加了靶向药物的使用,国谈准入药物品种逐步进入临床,患者的用药负担进一步减轻。

Interviewing on Sensitive Issues: Negotiating new Identities in a Collectively Traumatized Society

In this article I aim to highlight the question how to negotiate and reconstruct new identities among previously perpetuator groups in the trauma zones by looking at a specific case example,Bosnia-Herzegovina(BiH)and Bosnian Serbs.After the end of the Bosnian war(1992-1995)through Dayton Peace Accord,Bosnian Serbs have been started to be classified as the perpetuator group of the war.However,both Bosniaks,the main victim ethnic group of the war,and Bosnian Serbs have also started to draw the borders of Serbness into different boundaries,such as moral and religious ones.In this study I employed the method of(online)in-depth interviewing with my Bosniak and Bosnian Serb participants to underline and display which components and experiences have been shaping Bosnian Serbness since the end of the war.After the analysis of my interviews,one could argue that burden of guilt and burden of loss might have caused re-imagination of Bosnian Serbness as today’s victims.Furthermore,according to the main pattern I detected among the testimonies of my participants,one could also argue that exclusion of Bosnian Serbs due to their ethnicity from everyday tasks or rituals makes their another supreme identity much more visible:they are Christian Orthodoxies of Bosnia now.

Security analysis of newly ameliorated WAPI protocol

Based on thorough researches on the Chinese wireless local area network （WLAN） security standard, i. e., WLAN authentication and privacy infrastructure （WAPI）, the security of the authentication access process is analyzed with the CK （Canetti-Krawczyk） model and the BAN （Burrows-Abadi- Needham） logic. Results show that it can achieve the alleged authentication and key negotiation goals. Besides those alleged, further analyses indicate that the authentication access process can satisfy other security requirements, such as mutual identity authentication, mutual key control, key confirmation, message integrity check, etc. If the used elliptic curve encryption algorithm and the hash algorithm are secure enough, the protocol can efficiently realize mutual authentication between STAs （station） and APs （access point）. Therefore, WAPI can be applied to replace the security mechanism used in the original WLAN international standard to enhance its security.

Agent based automated trust negotiation model

To enhance the practicability of the trust negotiation system, an agent based automated trust negotiation model （ABAM） is proposed. The ABAM introduces an agent to keep the negotiation process with no human intervention. Meanwhile, the ABAM specifies the format of a meta access control policy, and adopts credentials with flexible format to meet the requirements of access control policies instead of disclosing the whole contents of a certificate. Furthermore, the ABAM uses asymmetric functions with a high security intensity to encrypt the transmitting message, which can prevent information from being attacked. Finally, the ABAM presents a new negotiation protocol to guide the negotiation process. A use case is studied to illuminate that the ABAM is sound and reasonable. Compared with the existing work, the intelligence, privacy and negotiation efficiency are improved in the ABAM.

Discussion on the Construction of Negotiation Mechanism of Cross-bounder Water Pollution Treatment in Changjiang River

In order to construct cooperation platform for the treatment of water pollution in Changjiang River,thoughts and revolution were performed from both central government and regional area two aspects.From the national level,Changjiang region water resources management cooperation counsel committee was constructed as the national cooperation platform;from the regional level,Changjiang region water resources management cooperation counsel committee was constructed as the platform of Changjiang cooperation platform.The two platforms built fine interaction mechanism to deal with the national water management and Changjiang regional water management.

国际商务谈判中原则式谈判的应用

原则谈判法（principled negotiation）自1981年被原美国哈佛法学院的罗杰·费舍尔教授和哈佛大学谈判项目发起人威廉·尤里两位在其合作著作《毫不退让地赢得谈判》中提出以来,很快在国际上成为处理纠纷、化解矛盾而进行谈判的重要指导原则。随着我国经济的快速发展,各种国际商务活动的范围逐步扩大,各类商务活动对谈判技巧的要求进一步增多。

USB On-The-Go工作原理分析和应用研究

U SB( U niversal Serial Bus)经过了 9年发展 ,已经得到了市场的认可 ,其传输速度达到了最大 480 Mb/s的惊人地步 ,而 USB OTG ( On The Go)的推出更是鼓舞人心 ,其双重角色的强大功能可以使 U SB设备摆脱对 PC的完全依赖。 USB OTG是 U SB 2 .0规范的补充 ,他使外设可以在无主机参与的情况下直接互连进行通信工程。本文简单介绍了 U SB OTG的工作原理 ,并分析了现在 U SB OTG的应用情况 ,重点针对数码相机伴侣存在的问题 。

电子票据对我国票据法的冲击和影响

近年来,我国网络银行业务发展很快,许多商业银行都建立起了内部电子支付清算网络,且这一发展趋势日益迅猛。相对于网络银行的发展,现行的《票据法》等金融法规还没有将这一新的业务空间纳入范畴加以规定。主要表现在:银行与客户之间的交易不能建立在法律的框架之内,电子化交易的基础法制基本处于"空白"状态;网上银行交易的无纸化和瞬时性的特点,决定了网上银行业务的经营风险远远高于传统业务的风险,必须尽快加以立法规范。笔者试图从电子票据的概念、电子票据的特性与运行结构、电子票据对票据法的影响及未来电子票据流通规则主要内容等方面阐述电子票据对我国现行票据法的冲击和影响。

Issues in automated negotiation:protocol and ontology

In the environment of e-commerce, agents in automated negotiation should share common concept of what they are bargaining and a rule of how to bargain. State of the art overviews of automated negotiation is given. The main barriers to automated negotiation such as protocol and ontology are discussed. Then, a model of automated negotiation is presented with the ontologies of roles and goods described by web ontology language （OWL）, the proposal strategies based on the information sets, and a set of rules for agent interaction. In this model, agents coming from different organizations can negotiate automatically based on common ontologies defined by OWL and formal protocol. This makes it possible for the automated negotiation to be performed in an open environment such as Internet, not merely in a closed system.

Multi-agent based modeling for order distribution cooperative negotiation in supply chains

With the new characteristics of global cooperation in supply chains being synthetically considered,a hybrid model to the cooperative negotiation process for the order distribution in supply chain is mainly studied.After reviewing and analyzing some main domestic and overseas processes in cooperative negotiation modeling in supply chain,some problems are subsequently pointed out.For example,the traditional simple multi-agent system(MAS)frameworks which have some limitations,are not suitable for solving modeling complex systems.To solve these problems,thinking with the aid of the multi-agent structure and complex system modeling,the manufacturing supply chain is taken as an example,and a time Petri net production model is adopted to decompose the materials.And then a cooperative negotiation model for the order distribution in supply chain is constructed based on combining multi-agent techniques with time Petri net modeling.The simulation results reveal that the above model helps solve the problems of cooperative negotiation in supply chains.

Stock Repurchase and the Role of Signaling： A Comparative Analysis between U.S. and China

This paper compares different methods used for stock repurchase and examines the role of signaling in the U.S. and China＇s capital markets. We find that the ways to buyback stocks are very different in the two countries. Most U.S. stocks are repurchased through open market and the signals sent to the market through open market repurchase are getting weaker. Even though stock repurchases are at their early stage in the Chinese stock market and the dominated way to buyback is through a negotiated repurchase agreement for non-floating shares, the power of signaling seems much stronger. Examining stock prices pre- and post-repurchase, we find that stock repurchase records an average abnormal return of 3.42% on the announcement date and 3.24% on the date of actual renurchase.

Cultural Barriers to International Business Negotiations

Studies in international business negotiation acquire unprecedented significance,as globalization closely connects various business fields into a dynamic whole.Cultural factors play a vital role in international business negotiation.This paper begins with a brief introduction to business negotiation,international business negotiation and significance of cultural barriers to international business negotiation.It then explores two fundamental cultural differences of China and western countries:value differences and thinking-pattern differences,which pose cultural barriers.The author then puts forward three strategies to help remove the cultural barriers and achieve successful negotiations.

"Integrated Design Process"a Concept for Green Energy Engineering

Consulting Engineers and Architects are currently experimenting with the concept of “Integrated Design Process” (IDP). This paper views Integrated Design Process as a process tool and a concept for management and organization of the green energy engineering process. Moreover such a concept is understood both as systematic knowledge and a symbolic device for enabling change. The paper briefly review international variants, and focus on two variants present in Denmark: an architect and engineering variant of IDP. The differences between the concepts include different roles for main actors, the use of information technology, the relation to lean, and forms of collaboration. The paper discusses two building projects focusing on teams of engineers and architects in the early conceptual phase. One develops a solution focused on energy saving technologies, the other on energy producing. It is argued that in this practical context, IDP is viewed as ambiguous and not well defined, and the architects and engineer work hard understanding and using the concepts even when directly involved. It is difficult to reach consensus on how to do it. The various players agree that an increased interdisciplinary interaction in the design team is necessary in order to comply with the increased complexity of green energy building design. IDP shows potential as a driver for green energy engineering and technologies, as traditional roles and responsibilities in the design process is changed, and sustainable solutions for green buildings can reach a higher standard and quality and are integrated earlier in the design process.