对骨折治疗"优化选择"与"合理选择"的理解和思考

从合理化角度回顾了当前几种重要的骨折治疗理论体系的发展与演变,认为骨折治疗的最优原则是一种理想状态,现实中没有绝对最优只有相对合理.只有建立以患者为中心的思维体系,加强医疗逻辑思维能力,用多维思考的方式寻找矛盾的合理平衡点,始终坚守医学伦理道德底线,才能真正做到为每一位骨折患者进行最合理的治疗.     

我国护理教育面临的困境及对策研究

梳理了目前国内外护理教育发展的基本情况,从满足我国护理事业发展需求、充分考虑现代护理学的学科特点、明确护理高等教育不同层次的培养目标等方面分析了护理教育发展的主要思路,并提出具体的建议和措施,力图通过加强护理学教育来进一步推动我国护理事业的发展。     

Mechanical-milling-induced amorphization of Se: A crystallite destabilization model

Complete solid-state amorphization has been realized in elemental Se by means of mechanical milling of crystalline Se powder. Quantitative X-ray diffraction and thermal analyses were employed to characterize the amorphization process and indicated that the amorphization onset corresponds to a critical crystallite size and a drop in microstrain. During the major amorphization process, the remaining crystallite size remains unchanged with a constant lattice expansion. A new kinetics model of crystallite destabilization is proposed for the solid-state amorphization which satisfactorily explains the experimental observations.     

Sports spectator behavior: a test of the theory of planned behavior

The theory of planned behavior has been applied to sports and exercise behaviors. According to this theory, human intention to take action in a specific context is guided by three antecedents: attitude, subjective norm, and perceived behavioral control. Behavioral intention mediates the relationships between these three considerations and its ultimate performance. However, this theory has seldom been applied to the behaviors of spectators of sporting events. A sample of 269 volleyball spectators in Taiwan was studied to examine whether people's intention mediated their attitudes, subjective norms, and perceived behavioral control toward a given behavior, watching the 2010 Fédération Internationale de Volleyball World Grand Prix in Taipei. Regression analyses did not support behavioral intention as a mediator. This result is discussed in the context of planned behavior.     

Cognitive Factors in Fibromyalgia: The Role of Self-Concept and Identity Related Conflicts

Fibromyalgia is a syndrome characterized by the presence of diffuse and chronic musculoskeletal pain of unknown etiology. Clinical diagnosis and the merely palliative treatments considerably affect the patient's experience and the chronic course of the disease. Therefore, several authors have emphasized the need to explore issues related to self in these patients. The repertory grid technique (RGT), derived from personal construct theory, is a method designed to assess the patient's construction of self and others. A group of women with fibromyalgia (n = 30) and a control group (n = 30) were assessed using RGT. Women with fibromyalgia also completed the Fibromyalgia Impact Questionnaire and a visualanalogue scale for pain, and painful tender points were explored. Results suggest that these women had a higher present self-ideal self discrepancy and a lower perceived adequacy of others, and it was more likely to find implicative dilemmas among them compared to controls. These dilemmas are a type of cognitive conflict in which the symptom is construed as "enmeshed" with positive characteristics of the self. Finally, implications of these results for the psychological treatment of fibromyalgia are suggested to give a more central role to self-identity issues and to the related cognitive conflicts.     

Confucian Dynamism,the Role of Money and Consumer Ethical Beliefs: An Exploratory Study in Taiwan

Consumer ethics is the moral principles and standards that guide consumers to determine the certain consumption behaviors are ethically right or wrong. Whereas cultural and personal dimensions are crucial constructs affecting individual ethical attitudes and behaviors, few studies consider Confucian dynamism and the role of money in consumer ethics. Confucian dynamism, a cultural dimension based on Confucianism, has played a central role in guiding moral obligations and ethics in human relations in several East Asian countries. Thus, this study tested its hypotheses using a sample of 521 respondents obtained via a systematic random sampling technique. The authors find that individuals with a higher tendency to Confucian dynamism are less tolerant of unethical practices. These findings also show that the role of money partially influences consumer ethical beliefs. Finally, we examine the impact of demographic variables and find age and education affect consideration of ethical values.     

从诺贝尔医学奖获取教益

通过对诺贝尔医学奖100余年获奖项目和获奖者的分析研究,发现创造性成果获奖多,基础研究成果获奖多,获奖者大多具有多学科的知识结构,获奖者大多出自一流的学术环境和获奖者都具有崇高的精神品质等特点.并且指出,我国要向诺贝尔医学奖迈进,就必须重视创造性、基础性成果的研究,必须重视和加强医学工作者和医学生创造性和综合素质的培养,必须营造有国际级科学大师引领的世界一流的学术环境.     

知情同意的临床实践存在的问题及对策

临床医疗实践中贯彻实施知情同意原则旨在保护病人的权益不受侵犯,然而知情同意原则实施起来并不简单,它常常会受到主客体两方面种种因素的制约,陷入意想不到的困境。分析了知情同意原则在实施过程中可能出现的一些难以回避的问题,并针对这些问题探讨了若干对策。     

易学思维之葩掇拾

本文选取《易》四卦探析其思维特征:从《泰》、《否》剖辨其因果思维,《泰》之以"果"示"因"更属辩证逻辑思维,从而否定C·G荣格关于《易》不从"因果关系论事"的判断。以《蛊》卦之"蛊"不训"弊乱"而应训如钱钟书先生所证之"事"、"事业",论定《蛊》属于创造性思维范畴,继承前辈事业,在自己的努力实践中创新业,立新功。以《》卦辞"不利即戎"断句或连读,探析前人关于战争的两种思考,一是果决地抓住战机打击敌人,如周武王讨伐纣之《牧誓》所示;一是先安顿内部,"施禄及下"以得民心,如《左传》"曹刿论战"所示,是"攘外必先安内"的战略性思考。