医疗诱导需求的实质：对医学公益性质的背离

医疗服务过程中诱导需求的行为屡见不鲜,过度治疗和制造病人的现象都是医疗服务过程中诱导需求的行为表现,试对诱导需求的两类典型临床案例进行对比分析,探究传统和新型的诱导需求的行为表现形式、发展过程。研究总结医疗诱导需求行为产生的原因有市场环境趋利导向、民众日益增长的医疗需求、医疗治理体系不健全等,最后提出缓解诱导行为的对策,包括打造市场规范秩序、把病人利益放在第一位、探索构建临床路径、构建高质量医学人才队伍、注重管理和医保监督、慎重修订临床指南等。

     

A pragmatic interpretation of intuitionistic propositional logic

We construct an extension ^P of the standard language of classical propositional logic by adjoining to the alphabet of a new category of logical-pragmatic signs. The well formed formulas of are calledradical formulas (rfs) of ^P;rfs preceded by theassertion sign constituteelementary assertive formulas of ^P, which can be connected together by means of thepragmatic connectives N, K, A, C, E, so as to obtain the set of all theassertive formulas (afs). Everyrf of ^P is endowed with atruth value defined classically, and everyaf is endowed with ajustification value, defined in terms of the intuitive notion of proof and depending on the truth values of its radical subformulas. In this framework, we define the notion ofpragmatic validity in ^P and yield a list of criteria of pragmatic validity which hold under the assumption that only classical metalinguistic procedures of proof be accepted. We translate the classical propositional calculus (CPC) and the intuitionistic propositional calculus (IPC) into the assertive part of ^P and show that this translation allows us to interpret Intuitionistic Logic as an axiomatic theory of the constructive proof concept rather than an alternative to Classical Logic. Finally, we show that our framework provides a suitable background for discussing classical problems in the philosophy of logic.This paper is an enlarged and entirely revised version of the paper by Dalla Pozza (1991) worked out in the framework of C.N.R. project n. 89.02281.08, and published in Italian. The basic ideas in it have been propounded since 1986 by Dalla Pozza in a series of seminars given at the University of Lecce and in other Italian Universities. C. Garola collected the scattered parts of the work, helped in solving some conceptual difficulties and refining the formalism, yielded the proofs of some propositions (in particular, in Section 3) and provided physical examples (see in particular Remark 2.3.1).     

Australian professional women's evaluations of male and female written products

Goldberg's provocative evidence of 1968 suggesting that female evaluators may be biased against females has initiated extensive research efforts in the last two decades to investigate the nature and extent of any possible prejudice. Recent reviews have concluded that the accumulated evidence is not strongly supportive of the initial claims. However, most of the available research has been conducted in only one country (America), and most of the subject samples have been from a restricted group (college age students). This study was designed to test for evaluative prejudice in a different society, with professional women of Anglo-Australian background, and across the age range from 20 to 60 years. Despite these variations, no evidence of bias against women was detected. The result are discussed with reference to changing societal attitudes and legislation.     

Visual object imagery and autobiographical memory: Object Imagers are better at remembering their personal past

In the present study we examined whether higher levels of object imagery, a stable characteristic that reflects the ability and preference in generating pictorial mental images of objects, facilitate involuntary and voluntary retrieval of autobiographical memories (ABMs). Individuals with high (High-OI) and low (Low-OI) levels of object imagery were asked to perform an involuntary and a voluntary ABM task in the laboratory. Results showed that High-OI participants generated more involuntary and voluntary ABMs than Low-OI, with faster retrieval times. High-OI also reported more detailed memories compared to Low-OI and retrieved memories as visual images. Theoretical implications of these findings for research on voluntary and involuntary ABMs are discussed.     

Emotion understanding,pictorial representations of friendship and reciprocity in school-aged children

This study examined the relationship between emotional understanding, friendship representation and reciprocity in school-aged children. Two hundred and fifty-one Caucasian 6-year-old children (111 males and 140 females) took part in the study. The Test of Emotion Comprehension (TEC) and the Pictorial Assessment of Interpersonal Relationships (PAIR) were used. Children having a reciprocal friendship and children having a unilateral friendship with a child named as their “best friend” were compared on the emotional understanding task and on their pictorial representations of friendship. Multilevel analyses indicated that friendship status effects were not influenced by classroom-level differences. Results showed that children with reciprocal friendships drew themselves as more similar to and more cohesive with their best friends, and they showed better understanding of emotions, than children having a unilateral friendship. Finally, the implications of these findings for theoretical and empirical research development on friendship are discussed.     

On the Costs of Nonclassical Logic

Solutions to semantic paradoxes often involve restrictions of classical logic for semantic vocabulary. In the paper we investigate the costs of these restrictions in a model case. In particular, we fix two systems of truth capturing the same conception of truth: (a variant) of the system KF of Feferman (The Journal of Symbolic Logic, 56, 1–49, 1991) formulated in classical logic, and (a variant of) the system PKF of Halbach and Horsten (The Journal of Symbolic Logic, 71, 677–712, 2006), formulated in basic De Morgan logic. The classical system is known to be much stronger than the nonclassical one. We assess the reasons for this asymmetry by showing that the truth theoretic principles of PKF cannot be blamed: PKF with induction restricted to non-semantic vocabulary coincides in fact with what the restricted version of KF proves true.     

Exploring and integrating discrete and dimensional approaches while inducing negative emotional states

Selecting visual stimuli for inducing specific emotional states is very challenging, since the choice relies on specific conceptualization of emotions. In this work, we present a set of 55 stimuli, realized integrating discrete and dimensional theories of emotions, and specifically selected to investigate anger, fear, and disgust reactions in non-clinical and clinical contexts. Our set of stimuli presents several aspects of novelty since (1) a large and heterogeneous sample of subjects from the general population was involved in the labelling task, and (2) bivariate and multivariate statistical techniques were applied to integrate emotion models. The proposed set of stimuli could be useful for researchers and other professionals in the affective sciences to address negative emotion recognition issues within a broader perspective both in general population and in psychiatric samples. The obtained comprehensive characterization of the stimuli allowed us to confirm the sexual dimorphism in emotional processing.     

Effects of a REBT Based Training on Children and Teachers in Primary School

Rational Emotive Education (REE) is a psychological educational program offering a preventative psycho-educational curriculum to children in order to teach them emotional literacy skills. REE helps children by teaching them to challenge irrational thinking, to minimize their reactions to disappointment and frustrations, to cope more effectively with problems, and to more fully accept themselves. The efficacy of REE training for children and teachers was examined in a sample of 211 third grade students from nine different classes and 26 teachers. Each class was randomly assigned to one of three different groups, two experimental groups and a control group, each receiving different training. First objective of our study was to evaluate the efficacy of a REE training based on storytelling in changing children’s irrational beliefs. Second objective of our study was to observe the efficacy of a teachers’ training similar to that applied in REBT-focused school consultation groups in enhancing their self-efficacy. Results show an improved tendency in children to think rationally and an enhanced perception of self-efficacy in teachers for those groups that underwent the training compared to the control group. Our results suggest that REBT based trainings for children and teachers should be integrated into the classroom curriculum in order to prevent mental health problems and encourage positive social and emotional well-being.     

Duality Theory and Skeleta for Semisimple MV-Algebras

We start from Marra–Spada duality between semisimple MV-algebras and Tychonoff spaces, and we consider the particular cases when the \(\omega \)-skeleta of the MV-algebras are restricted in some way. In particular we consider antiskeletal MV-algebras, that is, the ones whose \(\omega \)-skeleton is trivial.