从耗散理论解读肿瘤的发病及治疗

肿瘤的综合治疗方案,即药物-社会-心理治疗已广泛地应用于临床,虽效果显著,但其机制尚缺乏确切的实验依据.笔者从耗散结构理论来解读这种综合疗法,认为药物、社会及心理治疗均是通过增加机体的负熵,使肿瘤患者的内环境处于有序平衡状态而改善其病情.从耗散理论出发可以将肿瘤的综合疗法更好地应用于临床.     

法则关系方法在研究中的应用及其问题思考

重要概念之间的理论关系或合理关系的连锁系统被称作是一个法则关系。法则关系包括原有模型、前因变量或结果变量。应用结构方程模型来检验法则关系中各组成部分之间的法则有效性,从而对原模型作进一步修正,该方法能够更加科学地揭示出多变量间的因果关系。文中还提到了应用法则关系方法时需要注意的问题,并指出未来的研究应当着重于进一步构建其理论框架、借助其来有效地开发和验证测量工具、以及探索该方法效度的影响因素等方向。     

道德耻感的基本样态分析

道德耻感的内容丰富多彩,并通过多种多样的羞耻心理体验形式表现出来.其基本样态包括:自然耻感和道德耻感、自律性耻感和他律性耻感、先耻感和后耻感、个体耻感和群体耻感、德耻感和才耻感,等等.     

Argumentation in and Across Disciplines: Two Norwegian Cases

This paper aims at exploring the challenges arising when teachers at secondary school level decide to cooperate about students’ argumentative writing. Two teams of teachers and researchers have met regularly during the school year, discussing students’ texts from a variety of disciplines. Going into two writing tasks in detail, the authors discuss the importance of scaffolding (support) in the teaching of argument. The paper includes a discussion of some specific textual features that are often touched upon in the meetings.     

医学整合与卫生系统改革

从国际和我国卫生改革导向与发展趋势的角度,分析医学整合与卫生改革的关系.认为卫生系统改革的目标与政策导向印证了医学整合的实践与路径;医学整合的理论框架与发展实践为卫生改革与发展提供了可能;医学整合的目的与方向和卫生系统改革与政策导向协同一致,才能相互促进、共同发展.     

中国传统儒家责任心理思想探究

与西方个人主义文化背景下建构的责任心理观不同,传统儒家以“天人合契”思想为主旨,强调在关系伦理的价值体系中探求责任心理的现实定位,从而形成了一种以朴素的血缘亲情为基础,以“孝悌”为核心,外推“礼义”以至人类社会与自然的责任心理观。它视“民胞物与”的仁爱精神、“敬德保民”的王道信念、“心忧天下”的忧患意识为核心内容,主张以个人为起点,经由“诚”“敬”的主观修养、“知行合一”的力行实践,并辅以外在刑罚约戒,达致“克己让人”的为他责任人格。责任心理思想是传统儒家学说“上本天道、下理人情”,融贯道德理想于人伦日用的中心环节     

城镇职工医疗保险改革面临的问题与对策

我国政府已明确提出城镇职工基本医疗保险制度的改革目标,虽然改革已取得了一些进展,但距改革目标仍有相当差距。采用政治分析方法,分析了目前医改所面临的主要问题与原因,并在借鉴国际医疗保障制度改革启示的基础上,进一步探讨解决问题和推进改革进程的思路。     

SOURCES OF SUPPORT AND EXPATRIATE PERFORMANCE: THE MEDIATING ROLE OF EXPATRIATE ADJUSTMENT

This study examined the role of 3 sources of support in facilitating expatriate adjustment and performance. A model was developed that examined the effects of perceived organizational support (POS), leader-member exchange (LMX), and spousal support on expatriates' adjustment to work, the country, and interacting with foreign nationals. In turn, it was expected that expatriate adjustment would influence expatriate task performance and contextual performance. The model was tested using a sample of 213 expatriate-supervisor dyads via structural equation modeling. The results indicated that POS had direct effects on expatriate adjustment, which in turn had direct effects on both dimensions of performance. Although LMX did not influence adjustment, it did have direct effects on expatriate task and contextual performance. Spousal support did not relate to adjustment or performance. Practical implications for facilitating expatriate adjustment and performance are discussed.     

卫生系统绩效评估及其思考—《2000年世界卫生报告》的启示与思索

世界卫生组织在《2000年世界卫生报告－卫生系统：改进绩效》中,对191个成员国的卫生系统绩效进行了评估和排序。介绍了这一评估的框架和主要结果;提出对卫生系统绩效评估的启示与思考,认为我国应反思卫生改革绩效并客观地作出评价,为在新世纪促进卫生系统更好地发展和调整卫生改革目标作出明智的选择。