我国区域残疾现患率与人类发展指数相关性研究

根据第二次全国残疾人抽样调查(2006)以及2006年全国统计年鉴等相关数据资源, 分别计算反映我国不同区域残疾水平的残疾现患率指标, 以及反映我国不同区域社会经济发展水平的人类发展指数指标。探求残疾的罹患与社会经济发展之间的相关关系, 证明不同社会经济水平条件下, 残疾罹患水平具有区域差异性。在理论和实际两个方面为不同社会经济水平地区的残疾人保障和康复扶助工作提供了指导和政策支持。     

Research on the human resource development of the Three Gorges Region, China

The Three Gorgers＇ Region （TGR） is an economic region of China, and lies in the western part of Yangtze economic belt. It takes the Three Gorges Project as leading. Chongqing and Yichang City as main body, the Three Gorges Reservoir as ligament. It covers about 700 km of the Yangtze River valley from Chongqing to Yichang, including Chongqing City, Yichang City and Enshi District of Hubei Province. Since the construction of Three Gorges Project and establishment of Chongqing as municipality directly under the Central Government. the regional economy, culture, education, technology, etc., all developed harmoniously and rapidly, and the diathesis of the rgional human resources also got an exaltation. While compared with the eastern region of China. the economy, science and technology in this region still fall behind, and the current situation is of no optimism. Based on the theory of human resources development, this paper analyzes current situation and problems in the human resources development oJ the TGR, and puts forward the countermeasures such as planning human resources development program based on ＂anaphase support＂policy,developing echucation and training husiness,reasonably organizing labor export,etc.     

Examining and interpreting responsiveness of the Diabetes Medication Satisfaction measure

Abstract

Objective: Treatment satisfaction (TS) is an important patient reported outcome (PRO) in diabetes as it is correlated with outcomes necessary for optimal treatment (e.g., compliance, self-management behaviour). The objective of this study was to examine the responsiveness of the DiabMedSat, a disease-specific PRO measure, assessing Overall, Burden, Efficacy and Symptom TS.

Methods: The DiabMedSat was included in an open label, observational study of the safety and efficacy of biphasic insulin aspart 30 (NovoMix 30) in routine practice with type 2 diabetes. Responsiveness analyses, examining both internal and external responsiveness, were conducted and minimally important differences (MID) assessed.

Results: In 18,817 patients, all TS scores significantly improved after 26 weeks of treatment (p<0.001). The effect sizes for these changes were above 0.5 indicating that the ability to detect change was moderate-to-large in size. Significant differences were found for all TS scores comparing patients who met their HbA_1c goal, who improved but did not meet goal and who did not improve (p<0.01), and for patients who experienced a minor hypoglycaemic event and those who did not (p<0.001). DiabMedSat scores were able to detect changes in patients’ own global rating of satisfaction (MID ranging from 5.3 to 11.7) and in physician-rated satisfaction with patients’ HbA_1c improvement (MID ranging from 5.3 to 10.2).

Conclusions: In the context of an observational study, the DiabMedSat has been shown to be highly responsive to change and can be considered as an acceptable PRO measure for TS in diabetes.