俄罗斯在危机中调整发展思路

2009年俄罗斯经济未能摆脱危机困境,梅普组合主动调整发展战略,确立了经济社会全面现代化改造的新目标;并加大社会保障力度,力求把危机对民众生活的影响降至最低。经济危机未改变俄追求强国的梦想,俄借国际格局和大国关系调整之机,重新审视国际环境,强调外交主动性、务实性以及外交为经济服务,谋求在新格局中取得世界大国地位。     

高职高专公共事业类专业两年制课程体系改革研究的基本思路

高职高专公共事业类专业两年制课程体系的改革,需要把学科体系变为能力体系,把专业学科为本位变为以职业岗位和工作能力为本位,也就是说,要以就业市场为导向设置课程,其特色具体体现在：各专业根据自身特点,主要根据就业岗位群的职业工作任务核心能力标准,在此基础上分析知识构成,遵循高等教育学习规律设置专业基础课、专业课程和专业延展课程,构建专业核心能力和延展能力培养课程集群,形成将“模块式”与“三段式”综合集成的能力本位为主的新型高职教育课程体系。     

多头带绦虫六钩蚴Tm45W基因的克隆表达与免疫原性分析

为分析多头带绦虫Tm45W重组蛋白的免疫原性,利用RT-PCR技术首次从激活的多头带绦虫六钩蚴中扩增出多头带绦虫Tm45W基因。将扩增产物重组于原核表达载体pET32a(+)中,构建pET32a-Tm45W表达载体,转化至大肠杆菌BL21(DE3)中,经IPTG诱导表达融合蛋白;表达产物进行SDS-PAGE和Western-blot分析后,将纯化的Tm45W重组蛋白免疫小鼠,用ELISA检测其血清抗体。结果显示,Tm45W基因全长为813bp,其开放阅读框为765bp,编码255个氨基酸,与多头带绦虫新疆株多头蚴45m基因(序列号:EU326106)的部分序列同源性为90.60%;表达的重组蛋白大小为45ku,与脑多头蚴病羊血清的免疫印迹分析呈阳性反应;小鼠免疫后第1周血清中即可检测到抗Tm45W蛋白的特异性抗体,并于免疫后第35天达到高峰。结果表明Tm45W重组蛋白具有较好的反应活性,能引起机体较强的体液免疫反应。     

Medicare program; Medicare Shared Savings Program: Accountable Care Organizations. Final rule

This final rule implements section 3022 of the Affordable Care Act which contains provisions relating to Medicare payments to providers of services and suppliers participating in Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program. Under these provisions, providers of services and suppliers can continue to receive traditional Medicare fee-for-service (FFS) payments under Parts A and B, and be eligible for additional payments if they meet specified quality and savings requirements.     

Medicare and Medicaid programs: hospital outpatient prospective payment; ambulatory surgical center payment; hospital value-based purchasing program; physician self-referral; and patient notification requirements in provider agreements. Final rule with comment period

This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) for CY 2012 to implement applicable statutory requirements and changes arising from our continuing experience with this system. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the OPPS. In addition, this final rule with comment period updates the revised Medicare ambulatory surgical center (ASC) payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system. In this final rule with comment period, we set forth the relative payment weights and payment amounts for services furnished in ASCs, specific HCPCS codes to which these changes apply, and other ratesetting information for the CY 2012 ASC payment system. We are revising the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, adding new requirements for ASC Quality Reporting System, and making additional changes to provisions of the Hospital Inpatient Value-Based Purchasing (VBP) Program. We also are allowing eligible hospitals and CAHs participating in the Medicare Electronic Health Record (EHR) Incentive Program to meet the clinical quality measure reporting requirement of the EHR Incentive Program for payment year 2012 by participating in the 2012 Medicare EHR Incentive Program Electronic Reporting Pilot. Finally, we are making changes to the rules governing the whole hospital and rural provider exceptions to the physician self-referral prohibition for expansion of facility capacity and changes to provider agreement regulations on patient notification requirements.     

Medicare program; availability of Medicare data for performance measurement. Final rule

This final rule implements Section 10332 of the Affordable Care Act regarding the release and use of standardized extracts of Medicare claims data for qualified entities to measure the performance of providers of services (referred to as providers) and suppliers. This rule explains how entities can become qualified by CMS to receive standardized extracts of claims data under Medicare Parts A, B, and D for the purpose of evaluation of the performance of providers and suppliers. This rule also lays out the criteria qualified entities must follow to protect the privacy of Medicare beneficiaries.     

Requiring use of electronic services by certain claimant representatives. Final rules

We are revising our rules to require that claimant representatives use our electronic services as they become available on matters for which the representatives request direct fee payment. In the future, we will publish a notice in the Federal Register when we require representatives who request direct fee payment on a matter to use our available electronic services. We are also adding the requirement to use our available electronic services on matters for which the representative requests direct fee payment as an affirmative duty in our representative conduct rules. These revisions reflect the increased use of technology in representatives' business practices. We expect that the use of electronic services will improve our efficiency by allowing us to manage our workloads more effectively. These rules do not require claimants to use our available electronic services directly; they only require their representatives to use the services on matters for which the representatives request direct fee payment.     

Medicare program; hospice wage index for fiscal year 2012. Final rule

This final rule will set forth the hospice wage index for fiscal year (FY) 2012 and continue the phase-out of the wage index budget neutrality adjustment factor (BNAF), with an additional 15 percent BNAF reduction, for a total BNAF reduction in FY 2012 of 40 percent. The BNAF phase-out will continue with successive 15 percent reductions from FY 2013 through FY 2016. This final rule will change the hospice aggregate cap calculation methodology. This final rule will also revise the hospice requirement for a face-to-face encounter for recertification of a patient's terminal illness. Finally, this final rule will begin implementation of a hospice quality reporting program.     

声纹鉴定中普通话音素间过渡方式特征研究

不同人所讲的普通话语流中相邻音素间的过渡方式分为不同的类型。音节内辅音-元音之间、音节间元音-辅音之间的过渡方式分为清晰过渡(或停顿过渡)和模糊过渡(或缓冲过渡)两种类型;音节内元音-辅音之间的过渡方式分为间断过渡和连续过渡两种类型;音节内元音-元音之间的过渡方式分为平滑过渡、间断过渡、交错过渡和异变过渡四种类型。对同一人的发音而言,不论其相邻音素间的过渡方式属于上述哪种类型,都表现出较强的自身同一性。因此音素间的过渡方式可以作为声纹鉴定中的一类特征。     

从工业社会到生态社会:政府的功能与定位

工业文明在给人类社会带来史无前例经济增长的同时,也给人类赖以生存的自然环境带来了毁灭性的破坏。西方学界和政界对此进行了深刻的反思,开始逐步走向关注生态与社会和谐发展之路。中国社会正处于工业化中期,要怎样发展才能避免重蹈西方社会的覆辙?中国工业社会将走向何方?生态社会的理论为我们提供了全新的视野。什么是生态社会?为什么说生态社会是工业社会的必然走向?在从工业社会到生态社会的转变过程中政府该充当什么样的角色?本文通过对这一系列问题的回答,得出结论:生态社会是工业社会的必然走向,然而工业社会不会自发过渡到生态社会,在这个过程中,政府起到了助推器的作用。