Vaccines represent a new and promising avenue of treatment for drug abuse but also pose new medication adherence challenges due to prolonged and widely-spaced administration schedules. This study examined effects of prize-based incentives on retention and medication adherence among 26 cocaine users involved in a six-month hepatitis B vaccination series. Participants could meet with research staff weekly for 24 weeks and receive seven injections containing either the Hepatitis B vaccine or a placebo. All participants received $10 at each weekly visit (maximum of $240). Those randomly assigned to the incentive program received additional monetary payments on an escalating schedule for attendance at weekly monitoring and vaccination visits with maximum possible earnings of $751. Group attendance diverged after study week 8 with attendance better sustained in the incentive than control group (group by time interaction, p = .035). Overall percent of weekly sessions attended was 82% for incentive versus 64% for control (p = .139). Receiving all scheduled injections were 77% of incentive versus 46% of control participants (p = .107). A significantly larger percentage (74% versus 51%; p = .016) of injections were received by incentive versus control participants on the originally scheduled day. Results suggest that monetary incentives can successfully motivate drug users to attend sessions regularly and to receive injected medications in a more reliable and timely manner than may be seen under usual care procedures. Thus, incentives may be useful for addressing adherence and allowing participants to reap the full benefits of newly developed medications.
The Tasmanian medical programme is important in this regional, island economy, but the rural and remote communities have not benefited as much as the two larger cities. Sustaining a regional workforce mission over time might require frequent adjustments to admissions and curriculum processes.
Thanks in large part to a $30 million gift, Miami University, located in Oxford, Ohio, is in the midst of constructing a new state-of-the-art School of Business. This enormous new structure, which will measure 210,000 square feet, will house the Farmer School of Business's six academic departments, as well as a trading room that enables students to simulate stock-trading activity, Net classrooms, 500-and 150-seat auditoriums, a library, and electronic research facilities. As the plans for this massive structure suggest, traveling from the English department to the business school entails more than simply crossing the street; it means walking into an entirely different world. When we enter the business school as writing across the curriculum (WAC) administrators, we're not simply stepping into a different discipline, we're often stepping into different ideologies and values as well as different ways of thinking, talking, and writing. As in any WAC venture, two guiding principles are "know your audience" and "adapt to your environment." Admittedly, all WAC endeavors are by nature site specific; consequently, this article advocates rhetorical analysis that first uncovers and draws on the language and methods of a specific discourse community so that WAC administrators in a variety of institutional sites and cultures can then effect change.As WAC administrators in the School of Business, we are tasked with encouraging curricular change in a discipline intensely devoted to content and preparing students to succeed in established forms of capitalism. We are also assigned to work with an overwhelmingly male faculty that teaches 3/3 Pedagogy Published by Duke University Press
Sarah Bowles began work with the Falkland Islands Government Department of Agriculture in 1998 as an agricultural assistant, before moving to the veterinary section to become practice manager/animal nurse
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