腔内泌尿外科技术应用中的若干思考

近年来腔内泌尿外科迅速发展,在泌尿外科领域广泛应用.回顾历史,腔内泌尿外科器械是在与多种学科相互交叉和渗透的过程中发展的,学科交叉促进了腔内泌尿外科器械的发展和应用;腔内泌尿外科技术是医学人文关怀的体现,符合现代医学模式的要求.我们应加强医学与其它学科的交叉,促进腔内泌尿外科的发展,使疾病诊治更具人文精神.     

腔内泌尿外科若干技术的评价

随着高科技的发展,通过各种多功能的内镜技术,已可将电、激光、超声及机械力转入到整个泌尿系统的腔道内,不仅可以诊断疾病,还可以治疗疾病。回顾腔内泌尿外科的发展历史,社会实践的需要是腔内泌尿外科发展的根本动力,科学技术进步推动医学的发展,高新技术促进了腔内泌尿外科的迅速发展。     

腔内泌尿外科若干技术的评价

随着高科技的发展,通过各种多功能的内镜技术,已可将电、激光、超声及机械力转入到整个泌尿系统的腔道内,不仅可以诊断疾病,还可以治疗疾病.回顾腔内泌尿外科的发展历史,社会实践的需要是腔内泌尿外科发展的根本动力,科学技术进步推动医学的发展,高新技术促进了腔内泌尿外科的迅速发展.     

骨科学的新进展及其在治疗中的应用

现代各学科的交叉和融汇已经使骨科的临床诊疗技术有了革命性的进展,医学各学科之间以及医学与其它学科之间的交叉引用、促进发展体现了哲学体系中“综合”的概念。通过对近年来骨科发展的一些新思路的浅见来窥探综合理念在本领域应用的前景,试图阐明从学科交叉寻找合理且有前景的增长点也是未来骨科发展的必由之路。     

骨科学的新进展及其在治疗中的应用

现代各学科的交叉和融汇已经使骨科的临床诊疗技术有了革命性的进展,医学各学科之间以及医学与其它学科之间的交叉引用、促进发展体现了哲学体系中"综合"的概念.通过对近年来骨科发展的一些新思路的浅见来窥探综合理念在本领域应用的前景,试图阐明从学科交叉寻找合理且有前景的增长点也是未来骨科发展的必由之路.     

医学与人文社会科学交叉研究的思路和方法

医学与人文社会科学交叉研究的思路和方法湖南医科大学社会科学部（４１００７８）贺达仁,王谦现代科学研究存在两大主流,学科内研究与学科间研究。学科内研究指在传统学科分类的范畴内的研究,是学科间研究的基础;学科间研究指在学科与学科之间的交叉性、综合性、分化...     

以腹腔镜手术为代表的微创技术在泌尿外科的应用

随着科学技术的进步,微创医学正在形成和发展。泌尿外科是微创医学最活跃的专业之一。腹腔镜手术已被公认是现代微创外科技术的代表,正逐渐走向成熟,趋于标准化和规范化。目前多种泌尿外科腹腔镜手术已成为首选治疗方法。近年出现的机器人手术、计算机辅助外科与虚拟现实技术被认为是在腹腔镜手术基础上产生的第3代手术,正在走向现实。我们要对微创泌尿外科有一个再认识,更加准确把握微创泌尿外科的适应证,促进微创泌尿外科更加健康地发展。     

颌面赝复学发展中的整合理念

口腔颌面赝复学是研究和利用人工材料对颌面部缺损进行修复的一门学科,而学科间的交叉和整合则是医学的发展方向。从颌面赝复学的固位方式的改变,材料学的进展和仿真效果的提高等方面论述了各学科新技术与口腔颌面赝复学的整合对口腔颌面赝复学科的促进和发展。     

以腹腔镜手术为代表的微创技术在泌尿外科的应用

随着科学技术的进步,微创医学正在形成和发展.泌尿外科是微创医学最活跃的专业之一.腹腔镜手术已被公认是现代微创外科技术的代表,正逐渐走向成熟,趋于标准化和规范化.目前多种泌尿外科腹腔镜手术已成为首选治疗方法.近年出现的机器人手术、计算机辅助外科与虚拟现实技术被认为是在腹腔镜手术基础上产生的第3代手术,正在走向现实.我们要对微创泌尿外科有一个再认识,更加准确把握微创泌尿外科的适应证,促进微创泌尿外科更加健康地发展.     

颌面赝复学发展中的整合理念

口腔颌面赝复学是研究和利用人工材料对颌面部缺损进行修复的一门学科,而学科间的交叉和整合则是医学的发展方向.从颌面赝复学的固位方式的改变,材料学的进展和仿真效果的提高等方面论述了各学科新技术与口腔颌面赝复学的整合对口腔颌面赝复学科的促进和发展.     

Medical Students’ Gender Awareness

Gender awareness in medicine consists of two attitudinal components: gender sensitivity and gender-role ideology. In this article, the development of a scale to measure these attitudes in Dutch medical students is described. After a pilot study and a feasibility study, 393 medical students in The Netherlands responded to a preliminary instrument consisting of 82 items (response rate 61.3%). Reliability and validity were established. A gender awareness scale containing a gender sensitivity subscale (14 items), and gender stereotypes towards patients (11 items) as well as towards doctors (7 items) was developed. The instrument may be used for research purposes to evaluate gender awareness raising courses.     

循证医学与临床实践

循证医学是９０ 年代诞生的新兴医学科学。其要点是将临床医学领域的研究结果进行系统、全面的综合评价,为临床医疗实践、科研、卫生决策和医学教育提供可靠的科学证据。在发达国家的运用表明它已经对临床实践产生了重大而深远的影响,并将继续在临床医学领域发挥重要的作用。     

The parenting dimensions of British Pakistani and White mothers of primary school children

There is increasing emphasis internationally on the use of parenting programmes to support the development of appropriate social behaviour in children. However, in such programmes diversity is often ignored. Research into the parenting styles and practices (dimensions) of different ethnic groups is needed in order to investigate the applicability of universal programmes, to guide their design and implementation in the future. Thirty‐four British Pakistani and 34 British White mothers of primary aged children, comprising equal numbers of males and females, completed English or Urdu versions of the Parental Dimensions Inventory—Short Version (PDI‐S), (Power, Int. J. Behav. Dev. 67 : 302–313) and a child behavioural screening instrument, the SDQ (Goodman, J. Child Psychol. Psychiatry 38 : 581–586). More similarities than differences between the parenting dimensions of Pakistani and White mothers were found overall. However, compared with White mothers, Pakistani mothers reported more ‘following through on discipline’ as well as ‘reminding’ as a disciplinary action. Further, Pakistani mothers reported following through on discipline more with boys than White mothers did and the more they reported inconsistent parenting, the more their children reportedly had behaviour problems. It is concluded that while these findings provide some support for the cross‐cultural applicability of generic parenting programmes, programme efficacy studies are also needed. Copyright © 2010 John Wiley & Sons, Ltd.     

The Measurement and Interpretation of Organizational Climate

This study describes the development and application of a new organizational climate instrument, the Survey of Organizational Characteristics (SOC). The participants in the development phase were 94 master's of business administration students, and the participants in the validation phase were 77 medical professionals: 24 medical faculty, 17 postdoctoral students, and 36 medical technicians. The final instrument consisted of 8 relatively independent scales with alpha coefficients based on the combined sample ranging from .77 to .98, and with 6 coefficients that were higher than .90. Validity hypotheses based on a priori knowledge about the 3 medical groups were for the most part well substantiated, although the small sample of postdoctoral students was a limitation. In relation to the findings, an attempt was made to clarify and perhaps narrow several of the conceptual and methodological gaps that persist between organizational climate and organizational culture.     

The measurement and interpretation of organizational climate

This study describes the development and application of a new organizational climate instrument, the Survey of Organizational Characteristics (SOC). The participants in the development phase were 94 master's of business administration students, and the participants in the validation phase were 77 medical professionals: 24 medical faculty, 17 postdoctoral students, and 36 medical technicians. The final instrument consisted of 8 relatively independent scales with alpha coefficients based on the combined sample ranging from .77 to .98, and with 6 coefficients that were higher than .90. Validity hypotheses based on a priori knowledge about the 3 medical groups were for the most part well substantiated, although the small sample of postdoctoral students was a limitation. In relation to the findings, an attempt was made to clarify and perhaps narrow several of the conceptual and methodological gaps that persist between organizational climate and organizational culture.     

Clinicians' Observations of Family Interactions in the Reunification Process: The Parent Child Checklist

The present article employed a sample of 365 families of children in foster care to conduct a validation test of a newly developed instrument, the Parent Child Checklist (PCC). The PCC is a 54-item direct observation measure assessing parent–child interactions in the context of a family session. The PCC was developed to support the effective implementation of an evidence-based intervention, Parent Management Training-Oregon model, in the Kansas child welfare system. The PCC was designed to capture two scales of child behavior (prosocial and problem behavior) and five parenting domains (encouragement, positive involvement, problem solving, communication skill, and effective discipline). A combination of exploratory and confirmatory factor analysis was used in this first stage validation of the checklist. Results indicated the PCC scales obtained adequate internal consistency and interrater reliability. The confirmatory factor analysis supported 6 of the 7 expected scale domains; however, a two-factor solution was better - supported among the discipline items, labeled as effective and ineffective discipline. Test–retest reliability ranged from 0.45 to 0.80 across child behavior and parenting domains with alpha levels ranging from 0.65 to 0.88. A behavioral observation rating scale for clinicians that is reliable and feasible to implement can represent a significant improvement to practice-as-usual.     

建立心理学学科门类及学位类别的分析与展望

摘 要 为了促进中国本土化心理学体系建设和心理学学科的整体发展,从中国与发达国家心理学学科管理制度的比较中发现中国心理学学科归属所存在的问题,并在反思中探讨形成问题的原因。通过心理学在现有学科归属中的局限性,心理学成为独立学科门类的可能性,心理学成为独立学科门类后学科新体系的系统性,心理学成为独立学科门类的社会性四个方面的分析与讨论,研究了使心理学成为独立学科门类与学位类别的必要性与可行性。特别是从建设和谐社会的角度对心理学的学科归属、心理学的未来发展、现代社会发展及心理学与其它学科的广泛联系等需要的讨论中,指出中国心理学在专业设置方面隶属于理学和教育学的不足之处,认为这种隶属关系将会制约心理学的发展和学科成熟。提出应该在现有学位体系中增加心理学学科门类与学位类别,使心理学作为一个与理学和教育学并列的独立学科门类。通过改进学位体系让心理学在更大的学科背景中,建设中国本土心理学自身体系,使心理学研究方法更加多样化,为产生众多边缘学科和更好地发挥社会应用功能创造条件,也为今后心理学发展带来许多发展机遇,并在此基础上为展望心理学未来发展提供新的视角。     

腹腔镜手术治疗子宫内膜异位症的临床价值

子宫内膜异位症是妇科常见病、多发病之一,可引起痛经、慢性盆腔痛、性交痛和不孕等症状,严重影响育龄期妇女的身心健康和生活质量,日益受到人们的关注。以人为本,微创手术是当代医学的模式之一。本文从哲学的角度出发、以辩证的观点对腹腔镜手术治疗子宫内膜异位症的临床价值进行综述。     

The pedagogy of two different approaches to humanistic medical education: Cognitive vs affective

The enormous growth in medical humanities programs during the past decade has resulted in an extensive literature concerning the content of the discipline and the issues that have been addressed. Comparatively little attention, however, has been devoted to the structure of the discipline of medical humanities concerning the process or the theoretical aspects of the pedagogy of teaching the discipline. This report explicitly addresses the pedagogical aspects of the discipline by comparing and contrasting two different basic approaches to the discipline referred to as the classical humanities approach and the humanistic psychology approach which roughly approximate the cognitive and affective approaches respectively. These two approaches are compared and contrasted in terms of their goals, objectives, methods of implementation, philosophical assumptions and evaluational techniques.     

对“医疗服务商品和市场”存在客观性和必然性的理性思考——兼评《对中国医疗卫生体制改革的评价与建议》

针对国务院发展研究中心课题组发表的《对中国医疗卫生体制改革的评价与建议》提出的卫生改革带来“问题的根源在于商业化、市场化的走向违背了医疗卫生事业发展的基本规律。”提出“医疗服务商品”、“医疗服务市场”的存在是客观的,并通过反驳《评价与建议》提出的四对矛盾,提出“医疗服务商品”、“医疗服务市场”的存在也是必然的,最后分析了所谓“卫生改革失败”的真正原因。