检验医学的医学伦理学思考

检验医学发展迅速,然而对其医学伦理学的思考却常被人忽视。本文对日常检验工作中存在的伦理学问题进行了初步探讨,从检验机构设置、检验项目管理、日常检验工作及检验与,临床的沟通等方面思考了当今检验医学领域医学伦理学的现况。加强检验医学的医学伦理学建设,真正体现出对患者的人文关怀。     

检验医学的医学伦理学思考

检验医学发展迅速,然而对其医学伦理学的思考却常被人忽视.本文对日常检验工作中存在的伦理学问题进行了初步撂讨,从检验机构设置、检验项目管理、日常检验工作及检验与临床的沟通等方面思考了当今检验医学领域医学伦理学的现况.加强检验医学的医学伦理学建设,真正体现出对患者的人文关怀.     

中介效应检验方法的探新

回顾中介变量的基本概念和Baron and Kenny提出的中介效应检验的基本方法,并对其理论观点进行新的思考,同时结合多种检验方法,介绍一种新的检验程序。该程序对中介效应的分类给出了新的提法;将间接效应a×b的显著性作为中介效应检验的前提条件,并推荐使用bootstrap法对其进行检验。     

关于"医学检验"向"检验医学"转变的思考

"医学检验"伴随着临床化学、临床血液学、临床微生物学、临床免疫学、临床分子诊断学等学科的发展,进一步走向深化与细化.然而检验与临床之间隔阂愈演愈烈的现状,显示出还原论指导思想下的"医学检验"模式将难以适应现代医学的发展趋势,进而向着以系统论为哲学指导思想的"检验医学"模式的转变,其间正经历着一场由还原论到系统论、再实现还原论与系统论辩证统一的演化过程.     

结构方程模型统计检验力分析：原理与方法

结构方程模型是心理学、管理学、社会学等学科中重要的统计工具之一。然而, 大量使用结构方程模型的研究忽视了对该方法的统计检验力进行必要的分析和报告, 在一定程度上降低了这些研究的结果的证明效力。结构方程模型的统计检验力分析方法主要有Satorra-Saris法、MacCallum法与Monte Carlo法三类。其中Satorra-Saris法适用于备择模型清晰、检验对象相对简单、检验方法基于χ²分布的情形; MacCallum法适用于基于χ²分布的模型拟合检验且备择模型不明的情形; Monte Carlo法适用于检验对象相对复杂、采用模拟或重抽样方法进行检验的情形。在实际应用中, 研究者应当首先判断检验的目的、方法以及是否有明确的备择模型, 并根据这些信息选择具体的分析方法。     

检验能力对统计显著性检验的影响

利用计算机构造被试总体、模拟实验研究程序进行抽样研究,探讨抽样样本总体达到t检验显著性的数目与统计检验能力之间的一致性。模拟实验结果表明,统计检验能力与样本总体t检验显著性的数目具有很高的一致性,但两者同时受到显著性水平α、样本客量n和总体效果大小δ的影响,从而有可能影响统计推断的可靠性。因此,在进行显著性检验过程中,应对统计检验能力进行估计,这将有利于心理学研究成果的积累。     

注重检验专业学生在微生物检验实习中临床沟通能力的培养

临床检验专业已成为独立的学科,微生物检验对临床抗感染合理用药具有指导意义.微生物检验实习生需通过完善知识结构,强化专业技术实践,加强临床合作,积极参与病例讨论,加强师生之间沟通,以及沟通技巧的学习,促进临床沟通能力的培养.     

中介效应检验程序及其应用

讨论了中介变量以及相关概念、中介效应的估计；比较了检验中介效应的主要方法；提出了一个检验程序，它包含了依次检验和Sobel检验。该程序检验的第一类和第二类错误率之和通常比单一检验方法小，既可以做部分中介检验，也可以做完全中介检验。作为示范例子，引入中介变量研究学生行为对同伴关系的影响。     

差数显著性t检验与元分析的对比研究

利用计算机构造被试总体、模拟实验研究程序进行抽样研究,探讨显著性ｔ检验方法与元分析方法在检验实验结果数据方面的差异。在模拟实验过程中,ｔ验受到显著性水平、样本容量和总体效果大小的影响,因此最终影响了统计推断的可靠性,建议：在进行显著性检验过程中,应对统计检验能力进行估计;元分析方法以样本为元素对总体进行推断,因此具有很高的准确性和可靠性,它将很有可能成为今后心理学研究的重要统计工具。     

认知诊断模型资料拟合检验方法和统计量

认知诊断模型界定了测验题目和所考察属性之间的关系, 通过被试的作答反应获取被试对属性或知识技能的掌握情况。认知诊断模型资料拟合检验可以从项目拟合、模型绝对拟合、模型相对拟合和个人拟合方等方面进行。通过对认知诊断拟合检验方法和统计量的详细介绍和评价, 可为认知诊断实践提供借鉴和参考。未来研究可在更丰富的研究条件下对各统计量的性能进行评价和对比, 完善已有的拟合检验方法, 提出新的拟合统计量。     

科技道德的两种精神

本文致力于挖掘各种科技道德规范背后的伦理精神 ,提出科学精神和人本精神是科技道德规范的灵魂 ;阐释两大精神的丰富内涵 ;辨析二者间的学理关系和实践关系。     

生命科学研究与创新思维--我国生命科学研究现状与思考

分析总结了我国现代生命科学研究中存在的一些问题,如重复性研究,文献复习不够,文章中数据较少,一稿多投等,并分析了出现这些问题的原因:科研经费严重不足,没有足够的科研时间,缺乏科学的科研机制,急功近利,缺乏公正严格的评价标准和体系等.就这些问题提出来一些应对策略,如改革科研体制,集中统筹安排科研经费,完善科研管理制度,加强创新思维的培养等等.     

Myths, models, and metaphors: Religion as model and the philosophy of science

Clifford Geertz's widely-used paper ‘Religion as a Cultural System’, makes the claim that ‘the importance of religion lies in its capacity to serve … as a source of general, yet distinctive conceptions of the world, the self and the relations between them …—its model of aspect—and of rooted, no less distinctive “mental” dispositions—its model for aspect’. However, apart from a highly critical article by Nancy Frankenberry and Hans Penner (1999) little attempt has been made to investigate this understanding of religion as model. This paper briefly considers the validity of Frankenberry and Penner's criticism and investigates possible applications of the elaborate analysis of models and metaphors in the philosophy of science since the time of Mary Hesse to the analysis of religious phenomena.     

Correlation and prediction in ordinal test theory

Based on the test theory model for ordinal measurements proposed by Schulman and Haden, the present paper considers correlations between tests, attenuation, regressions involving true and observed scores, and prediction of test reliability.The population correlation between tests is shown to be related to the expected sample correlation for samples of sizen ₁ andn ₂. Errors of estimation, measurement and prediction are found to be similar to their counterparts in interval test theory, while attenuation is identical to its counterpart. The bias in estimating population reliability from sample data is compared for Kendall's tau and Spearman's rho.The author wishes to thank the referees for their helpful comments on an earlier draft of this paper, and in particular, for the suggested alternative methods of establishing some of the presented results.     

Synchronicity and moments of meeting

Abstract :  The paper ¹ considers the role of synchronicity in the establishment of meaning in analysis, and links it to the notion of moments of meeting proposed by the Boston Process of Change Study Group. In so doing, the paper proposed to view synchronicity as an element in developmental processes, wherein attributions of meaningfulness are made in relation to patterns of action that do not have intrinsic meaning, but which have evolved in an environment of meaning, thereby bootstrapping the infant into the world of meaning. Jung's paradigmatic example of synchronicity—the scarab beetle event—is examined in this context and the argument is made that the event was primarily meaningful for Jung and carried with it important countertransference implications that Jung did not consider. The paper concludes with some suggestions for further investigation into the relationship between synchronicity and clinical practice.     

English teaching and the weight of theory

The division between theory and pedagogy is an example of the more traditional division between theory and practice. The paper deals with the artificiality inherent in the institutional separation of those scholars who study within a subject area and those who study the pedagogy of the subject. The paper discusses various theoretical accounts of the nature of English to make the case that theory is imbued with pedagogy. That is, theory is not neutral about teaching. How we teach is driven by our theoretical commitments to our subject.     

从认知逻辑视角看西方伦理学的发展

本文希望从认知伦理学的视角出发探讨伦理学的发展,以及人类对道德问题认知的过程与人类一般认知的逻辑之间的一致性。人类认知的逻辑是由概念到判断再到推论的过程,伦理学史由德性伦理学到规范伦理学再到话语伦理学、元伦理学和新德性伦理学的过程,实际上就是人类在道德认知上从概念伦理学到判断伦理学再到推论伦理学最后回归到概念伦理学的过程。     

No-Self and the Phenomenology of Ownership

The Abhidharma Buddhist revisionary metaphysics aims to provide an intellectually and morally preferred picture of the world that lacks a self. The first part of the paper claims that the Abhidharma ‘no-self’ view can be plausibly interpreted as a no-ownership view, according to which there is no locus or subject of experience and thus no owner of mental or bodily awarenesses. On this interpretation of the no-self view, the Abhidharma Buddhist metaphysicians are committed to denying the ownership of experiences, and thereby apparently obliged to explain our purported experience of ownership. My experiences seemingly come with the sense that I am the one who is undergoing this experience. But is there a really an experience of ownership—namely, an experience of being a subject that underlies our sense of ownership? I argue that there is nothing that it is like to be an owner of experiences, in the sense that there is no experiential phenomenology associated with the ownership of experience. The second part of the paper argues that, since there is no experience of ownership, there is no onus on the Abhidharma philosopher to give an explanation of the sense of ownership.     

Manipulation and Deception

This paper introduces the category of ‘non-deceptive manipulation that causes false beliefs’, analyzes how it narrows the traditional scope of ‘deception’, and draws moral implications.