医疗服务纵向整合的理论基础研究

为促进医疗服务纵向整合实践的开展, 矫正服务系统提供的碎片化服务, 结合医疗卫生服务的特点, 探讨了系统整合理论、供应链一体化管理理论、组织网络理论以及协同理论等与服务整合相关的理论基础, 着重分析了各理论的基本内涵、核心思想对医疗服务纵向整合的实践价值及其应用边界, 概括了各个服务整合相关理论内在逻辑上的关联, 最后构建了医疗服务系统纵向整合的理论模型, 以指导构建一个完整的服务连续体, 为居民提供整合的卫生服务。     

特质自我控制及其策略对主观幸福感的影响

探讨特质自我控制对主观幸福感的影响机制。多重中介模型揭示自我控制策略在特质自我控制(TSC)与主观幸福感(SWB)之间的作用。对924名大学生进行问卷调查,结果表明:情境选择、注意分配、认知重评均为TSC与SWB之间的中介变量。结论:解释了高特质自我控制个体SWB高的内在机制,也为自我控制过程模型提供实证支持。     

The fixity of reasons

I consider backtracking reasoning: that is, reasoning from backtracking counterfactuals such as if Hitler had won the war, he would have invaded Russia six weeks earlier. Backtracking counterfactuals often strike us as true. Despite that, reasoning from them just as often strikes us as illegitimate. A number of diagnoses have been offered of the illegitimacy of such backtracking reasoning which invoke the fixity of the past, or the direction of causation. I argue against such diagnoses, and in favor of one that invokes a principle I call the fixity of reasons. Backtracking reasoning violates the fixity of reasons. But, the fixity of reasons is a principle that must be observed in order to engage in practical reasoning at all.     

The exact vs. approximate distinction in numerical cognition may not be exact, but only approximate: How different processes work together in multi-digit addition

Two types of calculation processes have been distinguished in the literature: approximate processes are supposed to rely heavily on the non-verbal quantity system, whereas exact processes are assumed to crucially involve the verbal system. These two calculation processes were commonly distinguished by manipulation of two factors in addition problems: the identity of the target and the distance of the distractor. However, in all previous studies, these two factors were not manipulated independently. In this fMRI study, we could disentangle the two factors by using a different (two-digit) number stimulus set. Both behavioral and neurofunctional data suggest that the cognitive processes involved could be best explained by the (independent) factors target and distractor distance. Based on these data we suggest that the exact/approximate distinction does not seem to be as generally valid as previously assumed. We conclude that this study may be a starting point for a closer examination of the experimental, procedural and strategic conditions of when the exact/approximate distinction is valid and when it is not.     

Fostering Taiwanese preschoolers’ understanding of the addition–subtraction inverse principle

The present research involved gauging preschoolers’ learning potential for a key arithmetic concept, the addition–subtraction inverse principle (e.g., 2 + 1 − 1 = 2). Sixty 4- and 5-year-old Taiwanese children from two public preschools serving low- and middle-income families participated in the training experiment. Half were randomly assigned to an experimental group; half, to a control condition. Participants were tested for an understanding of inversion before and after intervention. One-third of the 5 year olds from both groups performed at the marginally or reliably successful levels before the intervention, and three quarters of them did so in the posttest. Only one of the 4 year olds was marginally successful before the intervention and 4 year olds in the experimental group somewhat benefited from the intervention. Significant social class effect were evident.     

Activation of amygdaloid PKC pathway is necessary for conditioned cues-provoked cocaine memory performance

Drug-associated cues are critical in reinstating the drug taking behavior even during prolonged abstinence and thus are thought to be a key factor to induce drug craving and to cause relapse. Amygdaloid complex has been known for its physiological function in mediating emotional experience storage and emotional cues-regulated memory retrieval. This study was undertaken to examine the role of basolateral nuclei of amygdala and the intracellular signaling molecule in drug cues-elicited cocaine memory retrieval. Systemic anisomycin treatment prior to the retrieval test abolished the cues-provoked cocaine conditioned place preference (CPP) memory. Likewise, a similar blockade of cues-provoked cocaine CPP performance was achieved by infusion of anisomycin and cycloheximide into the basolateral nuclei of amygdala before the test. Intra-amygdaloid infusion of H89, a protein kinase A inhibitor, or U0126, a MEK inhibitor, did not affect retrieval of the cues-elicited cocaine CPP memory. In contrast, intra-amygdaloid infusion of NPC 15437, a PKC inhibitor, abolished the cues-elicited cocaine CPP expression, while left the memory per se intact. Intra-amygdaloid infusion of NPC 15437 did not seem to affect locomotor activity or exert observable aversive effect. Taken together, our results suggest that activation of PKC signaling pathway and probably downstream de novo protein synthesis in the basolateral nuclei of amygdala is required for the cues-elicited cocaine memory performance. However, temporary inhibition of this signaling pathway does not seem to affect cocaine CPP memory per se.     

从文化全球化看中国佛教对现代科学及基督宗教的回应

本文试探讨的是近现代中国的佛教学者如何响应由西方传入的现代科学,这与他们对基督宗教的响应又有何关系,而这些响应对于学界对文化全球化的讨论又有何意义。本文以章太炎及太虚法师为个案,指出前者基本上是中国视域为本位,而后者更倾向于采取全球的视角。本文认为文化上的全球化,不仅对个别的宗教传统构成挑战,也提供机遇让不同的宗教传统得以更新,这不仅有助不同传统的全球化,更可促进不同宗教间的交流以至多元文化的建立。     

When Women’s Gains Equal Men’s Losses: Predicting a Zero-Sum Perspective of Gender Status

Believing that reduced discrimination against women directly corresponds to increased discrimination against men, referred to as a zero-sum perspective (ZSP), may inhibit further attempts toward gender equality. Based on a sample of 313 men and women, we developed and tested both a general measure and a domain-specific measure of the ZSP of gender status then examined sociodemographics (age, education, political orientation, religious beliefs, and past experience with discrimination) and social dominance orientation as predictors of the ZSP of shifts in gender status. Hostile and modern sexism were examined as potential mediators of this relationship. Structural equation models were computed to examine predictive paths separately for men and women. Although some similarities were found, results showed important differences in predictive paths for women and men, and supported the expected mediating role of sexism in the relationships between sociodemographic predictors and the ZSP. Findings have implications for targeting intervention efforts to enhance a win-win or non-zero-sum perspective that may facilitate efforts toward reducing gender discrimination.