比较视阈的中美医学伦理学教学——以武汉大学与芝加哥大学为例

中美两国都很重视医者人文素质的培养, 都重视医学伦理学教学。在与芝加哥大学的交流活动中, 武汉大学积极总结经验, 锐意改革, 取得了若干成果。其值得推广的经验包括:注重医学伦理教育的持续性, 构建长效教育机制;注重医学基础课程的道德教化功能, 形成隐性的医德渗透机制;注重临床医生的参与, 确立理论与实践的融通机制;审视中国传统文化特色与医疗现状, 培育域外教学方法的本土化机制;重视医学伦理学学科建设, 建立生命伦理学与医学伦理学的整合机制。     

美国补充与替代医疗体系的变迁及公众影响力

基于美国对补充与替代医学 (Complementary and Alternative Medicine, CAM) 的政策性文件, 结合美国亚马逊公司旗下产品"亚马逊 (美国) "的CAM图书的种类分布和销量情况, 以及美国公民使用CAM疗法的调查数据, 梳理了美国CAM体系变迁及公众影响力。美国政府对CAM的政策及体系界定经历了数次变迁。中医等传统医学及部分疗法在CAM体系内的归类发生过变化。部分CAM疗法被吸纳入美国医疗卫生保健体系。CAM在美国公众中有着巨大影响力。中医在美国的公众影响力主要在于针灸疗法, 且影响力在CAM疗法中并不突出。     

The role of awareness in delay and trace fear conditioning in humans

Expression of conditional fear without awareness has been previously demonstrated during delay conditioning, a procedure in which the conditioned stimulus (CS) and unconditioned stimulus (UCS) overlap. However, less is known about the role of awareness in trace fear conditioning, where an interval of time separates the CS and UCS. The present study assessed skin conductance response (SCR) and UCS expectancy during delay and trace conditioning. UCS predictability was varied on a trial-bytrial basis by presenting perithreshold auditory CSs. Differential UCS expectancies were demonstrated only on perceived delay and trace trials. Learning-related SCRs were observed during both perceived and unperceived delay CSs. In contrast, differential SCRs were demonstrated only for perceived trace CSs. These data suggest that awareness is necessary for conditional responding during trace, but not delay, fear conditioning.     

Control of a Virtual Avatar Influences Postural Activity and Motion Sickness

The influence of vehicular control on motion sickness has implications for theories of motion sickness etiology. We asked whether motion sickness susceptibility might also be related to the control of non-vehicular locomotion. Participants were exposed to a console video game that featured ambulatory locomotion of a virtual avatar. In a yoked control design, individuals either played the game (players) or watched another participant's recorded game play (viewers). Viewers were more likely than players to report motion sickness. During exposure to the video game players moved more than viewers, and the movement of players was more predictable or self-similar than the movement of viewers. Coupling of movement within player-viewer pairs was greater for pairs in which the viewer later reported motion sickness than for pairs in which both participants stated that they were not motion sick. The results reveal that motion sickness incidence can be influenced by the control of stimulus motion, in general, and is not limited to control of vehicular motion. We discuss implications of these findings for theories of motion sickness etiology.     

Exploring trust of mobile applications based on user behaviors: an empirical study

This paper explores trust of mobile applications based on users' behaviors. It proposes a trust behavior construct through principal component analysis, reliability analysis, and confirmatory factor analysis based on the data collected from a questionnaire survey with more than 1,500 participants. It is indicated that a user's trust behavior is composed of three principal constructs: using behavior, reflection behavior, and correlation behavior. They are further delineated into 12 measurable sub‐constructs and relate to a number of external factors. The data analysis showed that the questionnaire has positive psychometric properties with respect to construct validity and reliability. We also discuss the practical significance and limitations of our work toward usable trust management.     

Heart Rate and Affective Reactions to State Self-Objectification as a Function of Gender

The purpose of the present study was to examine heart rate (HR) and affective reactions to state self-objectification as a function of gender. We examined negative affect, positive affect, guilt, and HR at 6-second and 5-minute intervals across baseline, control, high objectification, low objectification, and cologne conditions in men (n = 53) and women (n = 57). Mixed factorial MANOVA results indicated a statistically significant Gender × Condition interaction. Both men and women showed a cardiac orienting response to high versus low objectification. Cardiac stress reactions to objectification were higher among women. Negative affective reactions to objectification were more pervasive across conditions among women.     

Subgroup Differences in Situational Judgment Test Performance: A Meta-Analysis

In this article, we describe a systematic review of mean race and sex differences in situational judgment test (SJT) performance. On average, White test takers perform better on SJTs than Black, Hispanic, and Asian test takers. Female examinees perform slightly better than male test takers on SJTs. We investigate two moderators of these differences: loading of g or personality on the SJT, and response instructions. Mean race differences between Black, Hispanic, Asian and White examinees in SJT performance are largely explained by the cognitive loading of the SJT such that the larger the cognitive load, the larger the mean race differences. Regarding the effect of personality loadings of SJTs on race differences, Black–White and Asian–White differences are smaller to the extent that the SJT is correlated with emotional stability and Hispanic–White differences are smaller to the extent that SJTs are correlated with conscientiousness and agreeableness. Cognitive loading has minimal effect on male–female SJT score differences; however, SJT score differences are larger, favoring women, when SJTs are correlated with conscientiousness and agreeableness. Concerning response instructions, knowledge response instructions showed greater race differences than behavioral tendency instructions. The mean correlations show that these differences are largely because of the greater g loading of knowledge instructions. A second study showed that when used in hiring, SJTs are likely to have adverse impact by race but not by sex.     

Prevalence and associated factors of poly‐victimization in Chinese adolescents

Multiple types of victimization or poly‐victimization (PV) can occur simultaneously during childhood, resulting in outcomes that are detrimental and difficult to reverse. Very few studies have focused on PV in Chinese adolescents. The present study is based on information collected from a stratified cluster sample of 1,561 females and 1,594 males aged 12–18 years living in Shandong Province, China. A self‐administered questionnaire was used to assess background information, the Juvenile Victimization Questionnaire was used to measure the extent of victimization and PV, the Screen for Child Anxiety Related Emotional Disorders was used to measure anxiety levels, and a Depression Self‐rating Scale for Children was used to ascertain depression. A majority of the study sample (66.2%) had experienced at least one form of victimization over the past year. Prevalence of PV was 16.9%, and was significantly higher among males (21.1%) than females (12.5%). Younger ages, one‐child families, and lower socioeconomic status were positively associated with PV. Logistic regression analysis indicated that smoking, alcohol consumption, exposure to pornography, and anxiety‐ and depression‐like symptoms were risk factors of PV. Results of this study highlight the need for further exploration of factors related to the PV of Chinese adolescents.     

多动症儿童与认知事件相关电位的实验研究

本研究通过对29名多动症(MBD)儿童与正常儿童认知事件相关电位各成份的比较,结果发现多动症组与正常儿童组在反映大脑认知功能P300潜伏期有明显的差异,从而说明P300可以作为检测多动症儿童的参考性的客观指标。     

青少年学生疏离感及其发展的研究

本研究采用<青少年学生疏离感量表》对重庆市和兰州市的1502名青少年学生进行调查,结果表明:青少年学生在生活环境疏离感和压迫拘束感上的平均分相对较高;各学生群体在社会疏离感、人际疏离感和总体疏离感之间的差异,主要体现在年级和地区的交互作用上,而环境疏离感的差异主要体现在性别和片区的交互作用上。各群体疏离感的差异主要表现在年级和片区之间;青少年学生的疏离感大体呈现出三个阶段的发展趋势,即是:初中阶段发展比较平稳,没有大的起伏变化;高中和大学阶段都是从低到高,再从高到低的倒“V”字型发展变化趋势。