国内外器官移植的比较研究

随着外科技术的改进,免疫抑制剂的发展,世界器官移植取得了巨大的发展。近年来我国的器官移植已取得了较大的进展,但要完全与国际接轨,还存在许多急需解决的问题。综述了国内外器官移植发展状况及趋势,分析了器官移植中尚待解决的伦理问题,从社会、伦理、经济、文化、心理、医疗等问题探讨了器官移植的新进展。     

关于器官移植非优因素的哲学思考

目前器官移植是拯救器官功能衰竭患者较有效的措施,但同种及异种器官移植术中存在的大量非优因素决定了器官移植的局限性和过渡性。本文根据系统自组织理论,从哲学的角度指出：发掘人类器官组织的自组织能力必将是恢复患者衰竭器官功能最优化和最有前途的途径     

我国骨髓移植的过去,现在与未来

骨髓移植是近２０年来得到飞速发展的一项高科技治疗方法,目前广泛应用于治疗一些恶性和非恶性疾病,如：急,慢性白血病,恶性肿瘤,再生障碍性贫血,先天免疫失调和代谢障碍病等,我国于５０年代末开始实验性骨髓移植研究,现已有众多单位可以开展此项工作,但仍不能满足患者迫切需要,本文回顾了世界和我国骨髓移植发展史,就我国骨髓移植所存在的问题,面临的挑战和机遇以及今后的发展前景做了简要的论述。     

Religion and Spirituality in Quality of Life Studies

The authors present their views on the current state of the art for research focused upon religion/spirituality and quality of life. Because of the undeniable influence of religion and spirituality at the macro-level of cultures, the internal and external worlds of individuals embedded in any culture are touched by religion and spirituality – even for individuals who deny any religious affiliation or beliefs. Religion and spirituality has already attracted attention from QOL researchers across a wide set of disciplines and should continue to do so in the future. The authors discuss approaches, topics and methodological issues that should be considered when researching religion/spirituality and QOL. Recommendations for future research are set in italics.     

Religion/spirituality and quality of life of international tertiary students in New Zealand: an exploratory study

Previous research links religion/spirituality to beneficial health outcomes, but the majority of these studies used samples from populations with long-term illness or older people. The present study explored whether the links between religion/spirituality and quality of life can be observed in a sample of younger adults, and also whether religion/spirituality could function as a coping mechanism in international tertiary students who are often subjected to significant stressors related to acculturation and being away from their families. The sample consisted of 218 domestic and 164 international students at a New Zealand university who were given the quality of life inventory and the additional special module about spirituality/religion/personal beliefs, both developed by the World Health Organization in collaboration with many member states. Religion/spirituality was significantly correlated with psychological quality of life in both groups, and social quality of life in international students. The results also show that religion/spirituality might function as a coping mechanism in international students in response to stressors of acculturation.     

QLQ-3O量表在乳腺癌化疗患者中的应用

应用EORTCQLQ-30核心量表调查初治乳腺癌化疗患者的生存质量。运用自身对比的队列研究方式,调查了42名乳腺癌化疗患者。结果显示化疗带来的生存质量的下降是显著但短暂的;某些因素对生存质量的影响较大,值得针对性地采取干预措施;对一些调查项目的修改,可以使EORTC QLQ-30量表更好地适应我国的国情和文化。     

论现代高科技在中药复方研究中的应用

中药复方是中医临床治疗的重要方法。由于具有多组分、多环节协同作用的特色,因此在某些方面可能优于以单一成分为主的西药。但是这一特点也增加了对其治疗机理进行研究的难度,从而影响到中医药的进一步发展和走向世界。本文认为应用现代高新技术是中医复方研究和发展的必由之路,但是在具体应用时应注意中医药本身所具有的独特的理论框架和思路,不能拘泥于西药药用植物的研究思路和方法。     

Protection of Life and Human Dignity: The German Debate between Christian Norms and Secular Expectations

The German debate on bioethics and medical ethics turns on achange in the meaning of human dignity. Such dignity is increasinglyrendered contingent upon a person's empirically assessable qualityof life. In contrast to such dignity-endowed human life, a merelybiological human life is taken to disqualify its bearer fromsuch dignity, depriving his life of the protection "respectfor human dignity" would otherwise guarantee. The idea of a"life not worth living" or "undignified life" evokes categories,which were developed at the beginning of the 20th century, andlater informed the crimes of National Socialist medicine inGermany. Against this secular development, this article analysesthe theological and church-based discussion of basic bioethicalquestions in Germany, especially the controversy among Protestants:once Protestant ethicists abandon an explicitly theologicalbasis for their arguments, their conclusions come to closelyresemble those of the secular participants in the debate. Asa result, such Protestants relativize fundamental ethical norms.They subordinate, along with their secular environment, theprotection of life to respect for autonomy. They thus preparethe ground for a revival of the risky concepts of the past.     

The Influence of Perceived Deservingness on Policy Decisions Regarding Aid to the Poor

In the current climate of welfare reform, it is important to understand how perceptions of the poor affect policy decisions. This paper examines how people distinguish between the undeserving poor and the deserving poor, and how this differentiation affects policy decisions. Survey respondents rated each policy in a set of hypothetical policies on a liberal-conservative continuum. Analyses were then conducted to explore differences in the respondents' likelihood of recommending the most liberal and the most conservative of these policies. Study 1 demonstrated that liberal policies were more likely to be recommended and conservative policies were less likely to be recommended when the target group was perceived to be deserving rather than undeserving. Study 2 replicated this effect of perceived deservingness and demonstrated an effect of attribution of responsibility. That is, liberal policies were more likely to be recommended and conservative policies were less likely to be recommended when the responsibility for the target's poverty was attributed to society rather than to the individual.     

Cancer Problems in Living and Quality of Life After Bone Marrow Transplantation

This study was conducted to develop an objective problems-in-living scale to identify the needs of cancer survivors after a demanding treatment such as bone marrow transplantation (BMT). A total of 99 adult BMT survivors completed questionnaires containing the 29 items included in the Cancer Problems-In-Living Scale (CPILS). These BMT survivors were most concerned about return of their illness or relapsing, the future, fatigue, not physically being able to have sexual intercourse, changes in their physical appearance, being concerned about infection and crowds, difficulty in obtaining adequate insurance, losing health insurance by changing jobs, and difficulty in meeting medical expenses. The CPILS showed a good level of internal consistency ( = .91). The hypothesis that BMT survivors who had lower levels of physical functioning would experience more problems with living was supported by correlation (.48, p < .001) of the CPILS with the Self-Rated Karnofsky Performance Scale. The construct validity of the CPILS was further supported by a significant negative correlation (–.66, p < .002) with the scores of BMT survivors on a quality-of-life measure, the Satisfaction with Life Domains Scale for BMT.     

The Effect of Relationships on Decision-Making Processes of Women in Harare,Zimbabwe

A preliminary study aimed at investigating the potential impact of relationships on decision-making process and autonomy of women was conducted in Harare, Zimbabwe. The majority of women surveyed (87.6%) were prepared to consult their husbands, whereas only 46.6% said they would consult their relatives prior to participation in health research. Only 6.2% and 11.3% were prepared to keep their participation secret from their husbands their relatives, respectively. Overall, 58.6% were rated as autonomous, 22.5% partially autonomous, and 18.9% were rated as not autonomous. Age, educational level, employment status, and marital status of respondents were significantly associated with autonomous decision-making process.     

系统思维在糖尿病防治中的应用

随着人们生活水平的提高,糖尿病日益成为威胁人类健康的主要疾病。在整体观的指导下,人们对于糖尿病采取综合全面的治疗。同时,整体优化的原则在防治中被充分运用。近年来,我国建立了2型糖尿病发病因素分析方式与概率预测模型。     

The history of religions and francophone research in Europe: Main disciplinary trends in Switzerland, France, Belgium and Luxemburg

This article provides an overview (as of September, 2008) of the state of the field of l’histoire des religions in the four french-speaking countries of Europe. It discusses the pioneers, along with their followers and influence, the position of principle institutions regarding teaching in the field, and the general orientations of each university, along with distinct emphases that reflect recent socio-political and cultural developments. This detailed panorama brings to light the relative weakness of french-speaking research in the field of l’histoire générale des religions. It calls attention to tensions between the former high status of this academic area, more than half of a century ago, and the disrepute into which its comparativist project has fallen over the last decades. It asks how French secularism – and the growing secularization of western societies more generally – may have influenced perceptions of the discipline, its orientations, and its position in today's academic market academic market. It also considers the impact of declining comprehension of religious phenomena among younger generations and correlated concerns with popularisation.     

中国大陆宁养照顾对癌症末期患者生活质量之影响

宁养工作强调全人的照顾,不但能维持原有的生活方式,而且能提高生活的品质。本研究旨在探讨癌症末期患者在宁养照顾介入后,生活质量的改变。研究分为试验组（n=630）和对照组（n=241）。研究的结果显示癌症末期患者经过宁养介入后,其身、心、灵、社会之生活品质大幅度改善。而对照组患者仅在身体生活质量方面有显著改变。因此对医疗人员、社会大众的临终关怀观念的推广及教育是迫切需要的,立法更是不容忽视的课题,正确的立法才能真正推动宁养工作的发展。     

血管外科治疗进展与科技发展的关系

血管外科在近几十年日益发展成熟,并逐渐从普外科分离出来成为单独发展的学科。在科技发展日新月异的新世纪,新技术新材料的应用也推动着血管外科诊疗手段的突飞猛进。这就要求从事血管外科的医务工作者在临床工作中要树立科技发展观的意识,及时了解科技前沿的发展动态,用新技术新方法改善治疗效果,最大程度地减少患者的痛苦和提高患者的生活质量,促进人类健康生存和发展。     

The Structure of Evolutionary Theory : on Stephen Jay Gould's Monumental Masterpiece

Stephen Jay Gould's monumental The Structure of Evolutionary Theory “attempts to expand and alter the premises of Darwinism, in order to build an enlarged and distinctive evolutionary theory … while remaining within the tradition, and under the logic, of Darwinian argument.” The three branches or “fundamental principles of Darwinian logic” are, according to Gould: agency (natural selection acting on individual organisms), efficacy (producing new species adapted to their environments), and scope (accumulation of changes that through geological time yield the living world's panoply of diversity and morphological complexity). Gould's efforts to contribute something important to each of these three fundamental components of Darwinian Theory are far from successful.     

The Conflict Between Religion and Science in Light of the Patterns of Religious Belief Among Scientists

Recent summaries of psychologist James H. Leuba's pioneering studies on the religious beliefs of American scientists have misrepresented his findings and ignored important aspects of his analyses, including predictions regarding the future of religion. Much of the recent interest in Leuba was sparked by Edward J. Larson and Larry Witham's commentary in Nature (3 April 1997), “Scientists Are Still Keeping the Faith.” Larson and Witham compared the results of their 1996 survey of one thousand randomly selected American scientists regarding their religious beliefs with a similar survey published eighty years earlier by Leuba. Leuba's original studies are themselves problematical. Nonetheless, his notion that different fields of science have different impacts on the religion‐science relationship remains valid. Especially significant is his appreciation of religion as a dynamic, compelling force in human life: any waning of traditional beliefs does not mean a decrease in religious commitment but calls for a new spirituality in harmony with modern scientific teachings. Leuba's studies, placed in proper context, offer a broad historical perspective from which to interpret data about religious beliefs of scientists and the impact of science and scientists on public beliefs, and opportunity to develop new insight into the religion‐science relationship.     

大学生世界观、人生观、价值观形成中的接受机制

大学生三观形成过程是与接受对象和接受环境互动的过程。大学生的知识结构、价值取向、意志品格决定着其三观接受倾向及信念内化的过程。三观信息反映现实的深度 ,与接受者内在认知结构和观念的契合程度 ,影响着其被接受的程度。而接受环境具有验证、巩固或修正、改变原有的三观观念的作用。应赋予三观以更深厚的文化基础和精神内涵 ,增强其理论创新和与现实的贯通性。     

湖北省农村集中供养五保老人生活质量研究

为了解湖北省农村福利院集中供养五保老人生活质量及其相关影响因素,利用中文SF-36量表对900例湖北省农村60岁及以上的集中供养五保老人、分散中供养五保老人和普通老年人选行调查。经多因素分析结果显示,五保老人的生活质量不仅要注意疾病、体力劳动、担心的问题等方面,更要注重不同供养环境对其产生的影响。     

事件类型的相似性对原理运用影响的实验研究

探讨样例与测题在表面概貌的事件类型方面发生改变的条件下,两者的表面概貌相似性对原理运用的影响。结果表明：1．样例与问题的表面概貌在事件类型方面发生变化时。其表面慨貌相似性对原理运用就会表现出明显的影响;2．样例与问题的表面概貌对原理运用的影响作用．要受到两者的对象对应的类型的影响．当对象对应相似时,其表面概貌相似就会促进解答测题时的原理运用,反之会产生干扰作用。据此可以认为。Ross关于表面概貌相似与否不影响原理运用的结论应予以改正。