Information Mismatch: Cancer Risk Counseling with Diverse Underserved Patients

As genetics and genomics become part of mainstream Medicine, these advances have the potential to reduce or exacerbate health disparities. Gaps in effective communication (where all parties share the same meaning) are widely recognized as a major contributor to health disparities. The purpose of this study was to examine GC-patient communication in real time, to assess its effectiveness from the patient perspective, and then to pilot intervention strategies to improve the communication. We observed 64 English-, 35 Spanish- and 25 Chinese-speaking (n = 124) public hospital patients and 10 GCs in 170 GC appointments, and interviewed 49 patients who were offered testing using the audio recordings to stimulate recall and probe specific aspects of the communication. Data analyses were conducted using grounded theory methods and revealed a fundamental mismatch between the information provided by GCs and the information desired and meaningful to patients. Several components of the communication that contributed to this mismatch and often resulted in ineffective communication included: (1) too much information; (2) complex terminology and conceptually difficult presentation of information; (3) information perceived as not relevant by the patient; (4) unintentional inhibition of patient engagement and question-asking; (5) vague discussions of screening and prevention recommendations. Our findings indicate a need to transform the standard model of genetic counseling communication using evidence-based principles and strategies from other fields of Medicine. The high rates of limited health literacy in the US, increasing access of diverse populations to genetic services, and growing complexity of genetic information have created a perfect storm. If not directly addressed, this convergence is likely to exacerbate health disparities in the genomic age.     

道教音乐养生的机理研究

中国传统音乐蕴涵丰富的道文化.道教音乐的神是虚静柔和的韵,形是五音六律;神通于心,故韵可修心养性;形合于阴阳五行,故五音六律能调养五脏六腑而炼形养命.道教的性命双修,从传统医学而言是形神共养,从现代医学而言是心身并调.本文从道教的性命双修、传统医学的形神观及现代心身医学等多重角度探讨了道教音乐的养生作用.     

彝族祖先崇拜与习惯法

彝族习惯法源远流长,彝族的祖先崇拜根深蒂固.马都作为祖先崇拜的象征,体现了彝族习惯法对奸淫幼女行为的认定和处罚,包含祖先崇拜这一宗教因素.祖先崇拜对奸淫幼女行为的约制,反映了彝族宗教信仰对习惯法的影响.     

How Does Shopping With Others Influence Impulsive Purchasing?

Most research in consumer psychology assumes that impulsive purchasing can be best explained by factors at the individual level. In contrast, this research examines how the presence of others influences this behavior. Results of 2 experiments suggest that the presence of peers increases the urge to purchase, and the presence of family members decreases it. However, this difference is greater when the group (peers or family) is cohesive and when participants are susceptible to social influence.     

胸外科器械吻合与手工吻合的利弊权衡

胸外科器械吻合技术在临床应用日益广泛,已经影响了传统的手工吻合技术。器械吻合和传统外科在有效治疗病人的同时,面临着复杂的技术和经济问题。外科医生如何面对和选择,已成为临床决策过程中亟待解决的问题。     

骨折治疗方法与原则的最优化历程

多年来骨折治疗,新旧技术、新旧理论相互融合,相互碰撞,产生了新的理论和方法,使得临床疗效显著提高,现阶段理智的临床医生应该融汇各家之长,多方互补,对每一位骨折患者的治疗都应该按照最优化的原则进行.但是在医疗过程中总存在着如方法选择不当或者错误,过度治疗,医患信任危机,医疗伦理道德的丧失等情况,我们应该用矛盾分析的方法来思考这些问题.     

当代英美美学研究现状及趋势——对英美两种美学杂志的个案研究

《英国美学杂志》(The British Journal of Aesthetics)和美国《美学与艺术批评杂志》(The Journal of Aesthetcs and Art Criticism)是英美美学界的主流杂志,本文将以统计学的方法,以这两本杂志为对象进行个案研究,分析、总结杂志从1990-2000年间的文章,管窥当下英美美学研究的现状,分析英美美学研究的结构和基本趋势.     

青年学生价值目标结构的研究

本研究在文献分析的基础上,结合国外已有相关量表,通过访谈、开放式问卷等方法,构建了我国青年学生价值目标理论维度,并据此编制了青年学生价值目标量表,对量表进行探索性因素分析和验证性因素分析后表明,青年学生价值目标包括6个维度：和平和安宁的价值目标、友谊和真爱价值目标、刺激和享乐价值目标、名望和权力价值目标、自我实现与发展价值目标、奉献价值目标。     

研究生心理压力特点的调查研究

目的研究研究生心理压力的特点。方法采用自编的研究生压力量表对1067名研究生分三个阶段进行调查。结果（1）研究生压力问卷具有良好的内容效度和预测能力,内部一致性和测量稳定性较理想。（2）研一、研二和研三的学生在学业压力上具有显著性差异。（3）男女研究生、来源于农村和城市的研究生以及是否工作过的研究生均在经济压力上具有显著性差异。