外科医生美学观的培养与建立

通过对医学美学的起源及发展的梳理,发现外科医生美学观的培养和建立是人类医学发展的必然趋势,是适应健康概念更新和医学模式转变的根本要求,也是促进医学技术不断发展的不竭动力.外科医生要培养和建立美学观,要树立符合科学的、进步的审美观提高自身的人文素养,并在医学实践中培养审美创造能力.     

膀胱肿瘤标记物的研究进展

膀胱癌在我国是泌尿系统中最常见的恶性肿瘤.目前,膀胱癌的诊断主要依赖于尿细胞学检查及膀胱镜检查.这些检查都有各自的缺陷.膀胱肿瘤具有自身独特的分子标记物,可以被用来早期诊断、监测复发及评估预后,且为无创检查.因此检测肿瘤标记物正日益受到重视,成为研究的热点.在此我们就膀胱肿瘤标记物的研究进展进行综述.     

Do child pedestrians deliberately take risks when they are in a hurry? An experimental study on a simulator

In order to ascertain whether or not child pedestrians voluntarily take risks, a street-crossing task in an urban environment with vehicle traffic was administered individually to 80 children aged 10 years using a pedestrian simulator. The task, which was presented as a contest, consisted of attaining two objectives in a limited time. The subjects were divided into three conditions that differed only in the number of constraints that had to be taken into account in order to win the contest. The data show that the degree of urgency felt, measured by the amount of time taken, increased as the number of constraints increased. At the same time, the frequency of two of the risky behaviors (not using the pedestrian crossing, running across the road) increased, whereas the frequency of observation failures was independent of the condition. Not using the pedestrian crossing and running across the road were therefore deliberately taken risks, whereas observation failures can be attributed to a control deficit. The discussion includes suggestions for training.     

Hair Color and Courtship: Blond Women Received More Courtship Solicitations and Redhead Men Received More Refusals

Previous research on the effect of hair color on people??s evaluation and behavior has revealed discrepant results and the real effect of both male and female hair color on their mating attractiveness has never been tested. In Study 1, female confederates wearing blond, brown, black or red colored wigs were observed while sitting in a nightclub. In Study 2, male confederates wearing different colored wigs asked women in a nightclub for a dance. It was found that blond women were more frequently approached by men whereas blond males did not receive more acceptances to their requests. However, in both conditions, red hair was associated with less attractiveness. Evolutionary theory and differences in mating preferences are used to explain the blond hair effect. Scarcity of red-haired individuals in the population and negative stereotypes associated with red hair are used to explain the negative effect of red hair.     

Revisiting backward recall and benchmark memory effects: a reply to Bireta et al. (2010)

When participants are asked to recall lists of items in the reverse order, known as backward recall, several benchmark memory phenomena, such as the word length effect, are abolished (Bireta et al. Memory & Cognition 38:279–291, 2010). Bireta et al. (Memory & Cognition 38:279–291, 2010) suggested that in backward recall, reliance on order retention is increased at the expense of item retention, leading to the abolition of item-based phenomena. In a subsequent study, however, Guérard and Saint-Aubin (in press) showed that four lexical factors known to modulate item retention were unaffected by recall direction. In a series of five experiments, we examined the source of the discrepancy between the two studies. We revisited the effects of phonological similarity, word length, articulatory suppression, and irrelevant speech, using open and closed pools of words in backward and forward recall. The results are unequivocal in showing that none of these effects are influenced by recall direction, suggesting that Bireta et al.’s (Memory & Cognition 38:279–291, 2010) results are the consequence of their particular stimuli.     

Out of the depths

A fundamental approach of theology as practiced within the palliative setting is care for the whole human being, with particular focus on spirituality and the spiritual dimension. Theology and medicine come together in palliative care in which the spiritual aspect is an important component together with the physical, psychological, and social. This article is based on a mixed methods study of spirituality among persons receiving palliative care. Findings revealed the importance of spirituality and its multidimensional elements by which spirituality was perceived as a complex phenomenon relating to religious and non-religious aspects of human life. Theological reflection based on the present findings indicates that a sharp distinction between the concepts of religion and spirituality is not beneficial. It also reveals the significance of the spiritual dimension and that theology has an important role in creating a deeper understanding of this complex part of human existence. Spiritual needs, expressed in various ways, were evident among the participants receiving palliative care. The findings confirm that the theological approach in palliative care, with its focus on the whole human being and emphasis on spirituality and the spiritual dimension, continues to be the hallmark of practicing theology within palliative care.     

REPRODUCTIVE TECHNOLOGY: A CRITICAL ANALYSIS OF THEOLOGICAL RESPONSES IN CHRISTIANITY AND ISLAM

Reproductive medical technology has revolutionized the natural order of human procreation. Accordingly, some have celebrated its advent as a new and liberating determinant of kinship at the global level and advocate it as a right to reproductive health while others have frowned upon it as a vehicle for “guiltless exchange of sexual fluid” and commodification of human gametes. Religious voices from both Christianity and Islam range from unthinking adoption to restrictive use. While utilizing this technology to enable the married couple to have children through the use of their own sexual material is welcome, the use of third party, surrogacy, and reproductive cloning are not in keeping with the sacrosanct principles of kinship, procreation through licit sexual intercourse, and social cohesiveness for building a cohesive family as uphold by both Christianity and Islam. To examine such larger issues emanating from these new ways of human procreation, beyond the question of legality, is a point which legal scholars in both Christianity and Islam, when issuing religious decrees, have not anticipated sufficiently. The article proposes to be an attempt to that end through a qualitative critical content analysis of selected literature written on the subject.     

Effects of telephone support on exercise capacity and quality of life in patients with chronic obstructive pulmonary disease: a meta-analysis

The aim of this meta-analysis was to evaluate the effects of disease education or pulmonary rehabilitation programs assisted with telephone support on physical capacity and quality of life (QOL) in chronic obstructive pulmonary disease (COPD) patients. A systematic search of PubMed, Embase, Web of Science and The Cochrane Library was conducted until May 2017. Randomized controlled trials (RCTs) examining the effects of telephone-assisted intervention versus a control group on exercise tolerance and QOL in patients with COPD were included. Two independent authors assessed the methodological quality of the trials using the Cochrane risk of bias tool. A meta-analysis was conducted with the Revman5.3 to quantify the effects of telephone-assisted interventions on walking capacity and QOL. In total, 10 studies involving 1037 participants were included. Due to the effect of telephone-assisted interventions, statistically significant results were found on Saint-George’s Respiratory Questionnaire (SGRQ) symptom scores [standard mean difference (SMD) ?.18, 95% confidence interval (CI) ?.33, ?.03, p-value .02)], SGRQ impact scores [SMD ?.35, 95% CI ?.60, ?.10, p-value .006)], SGRQ activity scores [SMD ?.30, 95% CI ?.45, ?.15, p-value < .0001)], SGRQ total score [SMD ?.36, 95% CI ?.51, ?.21, p-value < .00001)]. The effects on 6-min walk test (6MWT) and all Chronic Respiratory Questionnaire (CRQ) subscales were not significant (p > .05) based on the insufficient evidence. In conclusion, the role of telephone-assisted interventions in the management of COPD remains equivocal. Some encouraging results were seen with regard to SGRQ symptom, SGRQ impact, SGRQ activity and SGRQ total score. We believe that more methodologically rigorous large-scale randomized controlled trials are necessary to answer this study question.     

The use of religion in coping with grief among bereaved Malay Muslim parents

The purpose of this study is to explore the influence of religion on bereaved parents after the death of a child. Literature had attempted to understand how religiosity may influence parental grief both in positive and negative ways. However, this area is scarcely explored in the Malaysian context. This qualitative study involved 11 bereaved parents who lost their children due to accidents (n?=?9) and homicide (n?=?2). Open-ended questions that focused on the importance, activities, and role of religion in the grieving process among Malay parents were asked. According to the thematic analysis, some of the main themes found were that the bereaved parents described religion as a beneficial mechanism in helping them to adapt with their losses through various responses that indicated the perception that religion as a guidance. However, other than the positive impact, religiosity can also lead the bereaved parents to experience negative effects of using religion as a coping strategy. The influence of culture is prevalent in the current study as the theme of mystical belief and paranormal experiences were also reported. This study provides some professional implication from the possible use of religion in intervention.