加强麻醉科本科实习生对手术患者围术期心理支持疗法的培养

麻醉科本科实习生在实习期间必然面对众多的手术患者,我院欲将这些学生培养成合格的、德才兼备的医生,除了在实习期间指导他们掌握专业理论和实践技能外,更要加强他们对临床手术患者人文关怀意识的培养.手术患者的焦虑情绪往往影响麻醉管理质量,甚至预后;加强实习生对手术患者围术期心理支持疗法的培养意义深远.     

青少年攻击行为与友谊质量的交叉滞后回归分析

该研究采用问卷法,对湖北省一所初级中学二年级青少年进行了一个学年的纵向追踪研究,使用Bjorkquist等人编制的直接和间接攻击量表(DIA)以及Parker和Asher编制的友谊质量问卷(FQQ)测查青少年的身体攻击和友谊质量。然后采用二元交叉滞后回归分析法考察了初中二、三年级学生在一个学年中的攻击行为与友谊质量(总问卷及分问卷得分)的关系。结果表明,在控制了前测"肯定与关心"得分后,身体攻击显著地负向预测了"肯定与关心"得分。在控制了前测的"冲突解决策略"得分后,攻击行为边缘显著地预测了后测的"冲突解决策略"得分。同时发现,后测"身体攻击"和"冲突与背叛"不存在显著的相关。     

伊斯兰教与世俗化问题再思考

宗教作为一种社会存在、社会文化形态,它与人类社会是双向互动的。社会生活世俗化与社会宗教道德规范化、制度化,在任何人类社会都是互有联系和区别的现象。本文以伊斯兰教历史上三个有代表性的时间节点为线索,就其与世俗化的关系问题进行了一些学理上的梳理。     

宗教与全球发展:一种对话路径

宗教与全球发展成为当代社会的一个重要议题,一个标志在于联合国千禧年发展目标的提出及世界宗教和精神领袖千禧年和平高峰会议。其中,由前世界银行行长及当时的坎特伯雷大主教联合发起的世界信仰发展对话,即为推动类似目标的一个重要机构。发展的目的在于人。贫困不仅包括物质的层面,也包括精神的层面。全球经济的发展需要一种伦理和价值的支撑。文化应该作为一种创新机制,参与并影响全球发展的过程。在中国,宗教是建设社会主义和谐社会的重要因素。中共十七大明确指出,要发挥宗教在社会经济发展中的重要作用。十七届六中全会则明确提出文化体制改革的目标。随着中国改革开放的进一步深入,中国对世界的影响日益加强,文化和精神的维度在社会发展和国家建设方面将扮演更重要的作用。中国模式也将对世界论坛的讨论产生一定影响。     

Dopamine D1 receptors are responsible for stress-induced emotional memory deficit in mice

It is established that stress impairs spatial learning and memory via the hypothalamus-pituitary-adrenal axis response. Dopamine D1 receptors were also shown to be responsible for a stress-induced deficit of working memory. However, whether stress affects the subsequent emotional learning and memory is not elucidated yet. Here, we employed the well-established one-trial step-through task to study the effect of an acute psychological stress (induced by tail hanging for 5, 10, or 20?min) on emotional learning and memory, and the possible mechanisms as well. We demonstrated that tail hanging induced an obvious stress response. Either an acute tail-hanging stress or a single dose of intraperitoneally injected dopamine D1 receptor antagonist (SCH23390) significantly decreased the step-through latency in the one-trial step-through task. However, SCH23390 prevented the acute tail-hanging stress-induced decrease in the step-through latency. In addition, the effects of tail-hanging stress and/or SCH23390 on the changes in step-through latency were not through non-memory factors such as nociceptive perception and motor function. Our data indicate that the hyperactivation of dopamine D1 receptors mediated the stress-induced deficit of emotional learning and memory. This study may have clinical significance given that psychological stress is considered to play a role in susceptibility to some mental diseases such as depression and post-traumatic stress disorder.     

Young Indigenous Australians' Sexually Transmitted Infection Prevention Practices: A Community‐based Participatory Research Project

National surveillance data indicate marked differences between Indigenous and other Australians in the prevalence of many sexually transmitted infections (STIs). Young Indigenous people bear a particularly high burden of these infections. A collaboration of university researchers, Indigenous health workers and young Indigenous people conducted 45 field interviews to examine how young Indigenous Australians keep themselves healthy and protected against STIs. Our findings emphasise the complexity of health behaviours, where individuals are rarely always ‘risky’ or always ‘safe’, as well as subtle gender differences in health practices. Preventive strategies employed by the young people were contingent on beliefs and knowledge about sexual partners, the type of relationship, the context of the sexual encounter and access to condoms. Tangible strengths such as young Indigenous people's commitments to condoms and STI screening should be celebrated and bolstered to enhance their ability to protect themselves against adverse health outcomes and enhance their resilience against STIs. Focusing on strengths helps to counter the deficit model of health commonly deployed in Indigenous health research and draws attention to health issues facing young Indigenous people and their communities, without reinforcing negative stereotypes or focusing solely on individual risk behaviour. We provide concrete recommendations for health promotion and education. Copyright © 2011 John Wiley & Sons, Ltd.     

The impact of development of population-based study in the biomedical field on laws and regulations: a cross-strait experience on biobank development

Together with the completion of the Human Genome Project, biomedical research has marched into the "Post-Genomic Era." In order to take advantage of this extracted gene related information extensively and precisely so as to realize man's biological phenomena as well as the mechanism of pathogenesis, consequentially, a large scale sample collection of different geological areas and/or ethnic groups becomes necessary for the future population based genetic research of a country and, in turn, the construction of population-based genetic database (Biobank). In recent years, both mainland China and Taiwan have not only made great progress in information and computation technologies, but have also gradually taken a close look into the quality of medicine delivery. Thus, it becomes unavoidable for both sides to create each one's population-based genetic databases (Biobank). Theoretically speaking, the Biobank development shall benefit the study on the correlation between genes and disease and also the solution for disease treatment as well. At the same time, medical diagnostic technology has also been significantly improved. It is believable that the population-based genetic database might be utilized to promote medical quality and to reduce the cost of public health delivery. Further; in the near future, it might become the "raw materials "for medical research application. However when taking promotion of public welfare as the premises for a Biobank development, the severe and multi challenge occurred against the traditional legal rules in terms of the privacy protection, public trust development, the compliance of informed consent principle, the implementation of benefit-sharing doctrine and the possible discrimination concern about the population/participants selection and some other ELSI issues. In this paper, the major legal issues encountered by the Biobank development will first be reviewed accompanied by the background information concerning the Biobank development scenario crossing the Taiwan Strait. Also, mainly following the realm of comparative policy or legal approaches, the paper learning from the fruits of this comparative study, tries to propose some recommendations for future legislative consideration by both mainland China and Taiwan. It's been this author's wish that, when establishing a large scale population based Biobank, the promotion of public trust shall be placed as the primary goal together with the emphasis on supporting publicity and transparency on the administrative practices, so as to encourage the public participation in observing the principle of altruism and, in turn, benefit the future biomedicine development.     

Routine housework and tripartite marital commitment

This study assumes that performing household labor is a method of maintaining the marital relationship and investigates whether higher marital commitment (personal, moral, and structural) is associated with more time spent on housework. Data taken from the second wave of the National Survey of Families and Households on 3,428 paired spouses in the United States were used to test research hypotheses. Results indicate that (a) husbands with higher moral commitment, or those married to a wife with lower moral commitment, do more routine housework, and (b) husbands with stronger personal commitment do less routine housework and their wives do more. The interplay of gender ideology and marital commitment as they pertain to housework performance for each gender is discussed.     

The relationship between puberty and social emotion processing

The social brain undergoes developmental change during adolescence, and pubertal hormones are hypothesized to contribute to this development. We used fMRI to explore how pubertal indicators (salivary concentrations of testosterone, oestradiol and DHEA; pubertal stage; menarcheal status) relate to brain activity during a social emotion task. Forty‐two females aged 11.1 to 13.7 years underwent fMRI scanning while reading scenarios pertaining either to social emotions, which require the representation of another person’s mental states, or to basic emotions, which do not. Pubertal stage and menarcheal status were used to assign girls to early or late puberty groups. Across the entire sample, the contrast between social versus basic emotion resulted in activity within the social brain network, including dorsomedial prefrontal cortex (DMPFC), the posterior superior temporal sulcus, and the anterior temporal cortex (ATC) in both hemispheres. Increased hormone levels (independent of age) were associated with higher left ATC activity during social emotion processing. More advanced age (independent of hormone levels) was associated with lower DMPFC activity during social emotion processing. Our results suggest functionally dissociable effects of pubertal hormones and age on the adolescent social brain.     

Doing gesture promotes learning a mental transformation task better than seeing gesture

Performing action has been found to have a greater impact on learning than observing action. Here we ask whether a particular type of action – the gestures that accompany talk – affect learning in a comparable way. We gave 158 6‐year‐old children instruction in a mental transformation task. Half the children were asked to produce a Move gesture relevant to the task; half were asked to produce a Point gesture. The children also observed the experimenter producing either a Move or Point gesture. Children who produced a Move gesture improved more than children who observed the Move gesture. Neither producing nor observing the Point gesture facilitated learning. Doing gesture promotes learning better than seeing gesture, as long as the gesture conveys information that could help solve the task.