癌症患者临床决策倾向性的研究

为了解癌症患者对医生、自己和家属意见的临床决策倾向性,采取问卷调查和半结构访谈相结合的方法,调查120例住院癌症患者的临床决策倾向性.结果显示,(1)生活习惯相关决策,实际和理想的患者自己倾向性构成比值最高,为40%和33%;求医行为方面家属最高.实际和理想均为50%;常规检查、总体治疗方案、手术、化疗和放疗相关决策方面均为医生最高,分别为100%、90%、100%、90%和100%;(2)癌症患者理想和实际的临床决策倾向性构成比值均无差异(P>0.05),但访谈显示29.17%的患者认为目前决策状态不理想.提示:(1)癌症患者在不同方面的临床决策倾向性有所不同.(2)癌症患者对临床决策状态基本满意,但有患者希望医生参与沟通更多或自己参与更多.     

Positive and Negative Affect in Loss Aversion: Additive or Subtractive Logic?

Previous studies explain loss aversion as the result of a situation in which the expected negative emotions derived from a potential loss exceed the expected positive emotions derived from a potential gain (subtractive logic). We questioned this view and proposed additive logic, in which a linear combination between negative and positive emotions can be used as summed anticipatory affect intensity (SAAI) to explain loss aversion. By disproving two implicit hypotheses of subtractive logic, Study 1 showed that the additive logic of expected positive and negative affect was more effective than the subtractive logic in predicting loss aversion. Study 2 used real monetary gains and losses to verify the conclusion in Study 1. Using state‐trait theory to comprehensively consider the state and trait aspects of affect intensity, we further deduced that the immediate expected affect intensity might originate from the difference of an individual trait in affect intensity. Study 3 proved this hypothesis and showed that SAAI plays an intermediary role between affect intensity and loss aversion. Furthermore, Study 4 used real gamblers in casinos in Macau as its sample and obtained the same conclusion regarding loss aversion in real life as was found in the laboratory. Finally, we explained the effect of SAAI on loss aversion and indicated the contribution and significance of this study. Copyright © 2015 John Wiley & Sons, Ltd.     

乳腺癌患者的心理状况及相关因素分析

乳腺癌患者常常被各种心理问题所困扰,特别是乳腺癌根治术对女性性特征所带来的严重影响,各种心理问题更为突出。这些心理问题不但影响患者的生活质量,而且影响疾病的发生、发展及转归。本文回顾了患者的个人因素、疾病本身和治疗因素及其他社会心理因素与心理状况的关系,对乳腺癌患者进行心理干预、临床的综合诊治和防治过程提供新思路。     

脑成像技术及其在决策研究中的应用

先进的无创神经影像技术(如EEG和fMRI)允许研究者直接观察被试在完成多种知觉、运动和认知任务时的大脑活动。将脑功能成像与严密的实验设计和数据分析方法结合起来, 我们可以考察大脑不同脑区的功能以及它们之间的交互作用。随着脑功能成像技术在研究人类决策行为中的日益成功运用, 一个被称为神经经济学的新兴领域正在逐渐形成和发展起来。本文中首先对脑成像技术进行一个总体介绍, 重点在于探讨近年来在多体素分析和多模态数据整合的最新进展。接下来, 我们以风险决策、跨时间选择以及社会决策领域的几个研究为例, 阐述神经影像技术如何能加深和拓展我们对人类决策的认识。最后, 我们讨论了神经经济学中研究中面临的一些挑战以及未来的研究方向。     

营造清修环境——宫观管理之重要任务之一

在党和政府以及社会各界人士的关心支持下,经全国道教徒的艰苦奋斗,道教呈现出了欣欣向荣的气象。但是,在发展过程中,一些影响道教传承发展的问题必须引起道教界的足够重视,如戒律松弛、重利轻道等,其中重要的是忽略了营造清修环境,为修行人开辟一块清修静地这一宫观管理的基本     

教学查房规范化的基本理解与思考

教学查房是以培养医学生为主要目的的临床教学活动,它与医疗查房有着重要区别。三级医师教学查房是我国医学教育的基本模式,目前存在诸多问题,如何使教学查房规范化是大家面临的共同困惑。在临床教学实践中,教学查房规范化是现代化医学教育的迫切要求。     

非母语语音短期学习的年龄效应

采用短期人工训练的范式,选取没有任何朝鲜语经验的二年级儿童、五年级儿童和大学生为被试,以一对朝鲜语语音为材料,探讨非母语语音学习的年龄效应。被试分别在学习前和每天学习后完成语音分辨测查。结果发现:(1)汉语被试辨别朝鲜语紧音/k^*/和松音/k/时存在困难;(2)在学习前,大学生的语音辨别正确率最高,五年级儿童次之,二年级儿童最低;(3)学习后,二年级儿童辨别成绩的提高量高于五年级儿童和大学生。该结果支持了学习非母语语音的年龄越小,学习效果越好、学习速度更快的假设。     

Study of γ/γ′ interfacial width in a nickel-based superalloy by scanning transmission electron microscopy

The γ/γ′ interfaces are thought to play an important role in determining the mechanical properties in single-crystal nickel-based superalloys. In this article, interfacial width in DD6, one second-generation single-crystal superalloy containing 2 wt% Re, has been studied by means of scanning transmission electron microscopy. From an atomic resolution high angle annular dark field image, both compositional interfaces and order–disorder interfaces are studied, and it is first found that the interfacial width of chemical composition is same with that between the ordered and disordered phases.     

Sleep facilitates consolidation of positive emotional memory in healthy older adults

ABSTRACT

Evidence has demonstrated that sleep-related memory consolidation declines in ageing. However, little is known about age-related changes to sleep-related emotional memory consolidation, especially when considering the positivity effect observed in older adults. In the present study, we sought to explore whether there is a positive emotional bias in sleep-related memory consolidation among healthy older adults. Young and older adults were randomly assigned either into a sleep or wake condition. All participants encoded positive, negative, and neutral stimuli and underwent recognition tests immediately (test 1), after a 12-hour sleep/wake interval (test 2), and 3 days after test 2 (test 3). Results showed that age-related differences of sleep beneficial effect were modulated by emotion valence. In particular, sleep selectively enhanced positive memory in older adults, while in young adults sleep beneficial effect was manifested in neutral memory. Moreover, the sleep beneficial effect can be maintained at least 3 days in both young and older adults. These findings suggest that older adults had preserved but positive bias of sleep-related memory consolidation, which could be one of the underlying mechanisms for their generally better emotional well-being in daily life. These findings highlight the dynamic interplay among sleep and emotional memory in older adults.