中国医学史研究热点及发展态势——近五年中国医学史论文的可视化分析

为了解近五年中国医学史研究热点和发展态势,利用可视化软件对近五年中国医学史文献进行可视化分析。医学史学科为医学与史学跨学科专业,医学界与史学界间虽有融通交流,但研究界限仍较为分明。研究者应打破人为划分的学科分界线,将其他学科的理论融入医学史研究。高校应鼓励不同学科交互深造,创建研究集群以及培养体系,进行多学科交叉研究。在研究方向中,传统医学史与医疗社会文化史的碰撞和融合在未来将会是十分重要的发展趋势,借鉴瘟疫史研究的思路,从医疗社会史的角度探究其他疾病和现今尖锐的医疗问题或可成为未来的研究热点之一。

     

Clusters of Suicidal Events Among Young People: Do Clusters from One Time Period Predict Later Clusters?

We sought to compare clusters of suicidal events between two different time periods and examine the extent to which earlier clusters predict later clusters. We included data on suicides and suicide attempts from New South Wales between July 2001 and June 2012 and Western Australia between January 2000 and December 2011. Suicide attempts included admissions to hospital for deliberate self‐harm and suicides were deaths due to deliberate self‐harm. We combined data on suicides and suicide attempts and grouped them into two equal time periods. We detected clusters in each period using Poisson discrete scan statistics adjusted for socio‐economic status. We estimated the predictive values of earlier clusters on later clusters. The results showed that clusters from earlier time period had a moderate power (36%) in predicting later clusters. During the later time period, some additional cluster areas (14%) were found and some earlier cluster areas subsided (64%). Historical clusters predict 36% of the subsequent clusters, which is probably not sufficient for targeting interventions. Our study highlights the need for other strategies to detect emerging clusters, for example, up‐to‐date data.     

欧阳无畏继承法尊法师文本的考察

1934年底,冯庸大学毕业生欧阳无畏正式前往西藏拉萨哲蚌寺果茫札仓(笔者注:有译为果莽札仓、郭莽札仓、郭莽学院)出家为僧,前后在藏历经十个寒暑,最终获格西拉让巴最高学位候选资格,以致造就欧阳无畏“慧焰耀天,精义摄人”[1]的学识,这着实令众多藏传佛教格鲁派僧侣敬佩有加,“深获喇嘛群英之叹服”[2]。1952年到达台湾之后,继续耕耘在西藏佛学研究和讲授领域,直到1991年圆寂。     

口语句子的韵律边界：窥探言语理解的秘窗

韵律边界加工与言语理解紧密相关, 最近十几年来逐渐成为心理学和语言学的研究焦点。韵律系统包含若干由小到大的韵律单位, 不同单位的韵律成分其边界强度不同, 表现在音高、延宕和停顿三个声学线索上的参数也不同。句子的听力理解过程中, 听话人运用声学线索感知权重策略对韵律边界的声学线索进行加工。从神经层面上来看, 对于韵律边界的加工, 大脑显示出独立且特异性的神经机制。韵律边界的加工能力在婴儿出生后随年龄的增长而发展, 到了老年阶段则逐渐退化, 而且似乎能够对二语迁移。未来, 需要扩大对韵律边界声学表现的考查范围, 进一步明确韵律边界的加工过程, 进一步厘清韵律边界加工和句法加工之间的关系, 进一步关注二语者韵律边界加工能力的发展。     

The Role of Children's Neurophysiological Functioning in the Links Between Emotion-Parenting Behaviors and Child Anxiety Symptoms: A Biological Sensitivity to Context Framework

A plethora of data supports links between parenting behaviors and child anxiety, but few studies have examined factors that can contribute to variability in these relations. Adopting a biological sensitivity to context framework, this study explored the role of children's physiological stress reactivity in the links between emotion-parenting and child anxiety symptoms in a group of Chinese families. Sixty-one parent–child dyads (child M_age = 8.21 years, SD = 1.40, range = 6–12 years) participated in an acute stress protocol, from which children's physiological (cortisol and respiratory sinus arrhythmia) responses to a social speech task were recorded. Participants then completed questionnaires assessing parents’ emotion-parenting behaviors and children's anxiety symptoms. Results showed that the relation between supportive emotion-parenting and child anxiety was stronger in the context of greater child RSA suppression to acute stress, such that children higher in RSA suppression exhibited lower anxiety symptoms when supportive emotion-parenting was higher than when it was lower. Thus, these findings supported the biological sensitivity to context model. No significant moderation effect was detected for cortisol reactivity or recovery. Instead, exploratory mediation analyses showed that supportive emotion-parenting was negatively related to child anxiety via greater cortisol recovery. There was also a significant indirect path where unsupportive emotion-parenting was related to blunted cortisol recovery, which in turn was associated with higher child anxiety. The results highlight the importance of coaching parents to respond in supportive ways to children's emotional expressions, particularly in the context of greater child reactivity, to help buffer against childhood anxiety symptoms.     

One Roof,Three Generations: Grandparental Co-residence and Child Outcomes in China

This study examined the association between grandparental co-residence and child academic and behavioral outcomes using a sample from Shanghai, China (n = 1,763), and was built on two theoretical perspectives: intergenerational solidarity theory and the contextual model of family stress. These models integrate the impact of residential and relational proximity to grandparents on child well-being and underscore the importance of family context. This study also explored the moderating effects of family resources using proxies that prior theoretical and empirical studies have found to be important to such associations: family income, parental education, hukou status, and subjective social status. Results indicated that among families without co-residing grandparents, rural and low-income parents reported their children to have more externalizing behavioral issues than their respective urban and non-low-income counterparts. In addition, children who resided in poorly resourced families (i.e., low family income, low parental education, low subjective social status, or rural hukou status) tended to benefit from living with grandparents compared to their well-resourced counterparts in terms of lower externalizing and internalizing behaviors reported by teachers. These results do not negate the potential beneficial effects of living with grandparents for children in well-resourced environments. Implications for practice and policy, as well as future research directions, are discussed.     

The Influence of Holland's Vocational Interests on Work-Family Conflict: An Exploratory Analysis

Drawing on a sample of 438 working professionals from various organizations across the central United States, the authors investigated the relationship between Holland's (1959, 1997) RIASEC (Realistic, Investigative, Artistic, Social, Enterprising, Conventional) model and employee perceptions of work-family conflict. Results revealed that the RIASEC model contributed unique variance in predicting work-family conflict beyond demographic characteristics and the Big Five personality constructs. The RIASEC interests were found to be associated with different dimensions of work-family conflict. These results signal that vocational interests may influence not only work-related attitudes and behaviors (e.g., job satisfaction, performance), but also one's ability to balance work and family demands.