医学生服务社区农村意向的调查与思考

医学生服务社区农村，是加强社区农村卫生服务体系队伍建设的必要条件。通过对不同专业（方向）高年级医学生服务社区农村就业意向的调查和相关资料分析，对我国社区农村医疗卫生服务人才培养模式进行了探讨，为建立健全中国式社区农村医疗卫生服务人才培养体系提供参考。     

Integrated,Family‐based,Partial Hospital Treatment for Complex Pediatric Illness

This paper describes a unique treatment program for complex pediatric illness. The Hasbro Children's Partial Hospital Program uses a family systems orientation, integrated care, and a partial hospital setting to treat children with a wide range of pediatric illnesses that have failed outpatient and inpatient treatments. We have treated more than 2000 children with at least 80 different ICD‐9 diagnoses. The multidisciplinary treatment team functions as a meta‐family for children and their families who present with illness and family beliefs that impede successful outcomes with standard care. The three features: family systems orientation, integrated care, and partial hospital setting, hopefully interact to create an environment that helps families expand and modify their explanatory models regarding participating in effective medical care. The goal of treatment is for both children and their parents to feel empowered to take control of the illness. Parents completing standardized measures at intake describe their children and families as experiencing significant emotional distress, low levels of general family functioning, and poor quality of life. Although the children are described as having distinct behavioral differences, the families are described as responding to the experience of a seriously ill child in similar ways. A treatment program that addresses the noncategorical aspects of how families respond to illness while addressing the specific diseases of the children can allow children and their families to respond favorably to treatment.     

Colic: What's maternal mental health got to do with it?

Families can benefit when pediatric and mental health professionals have a greater appreciation of psychological and relational issues that arise in the course of caring for an infant with colic. The Infant Behavior, Cry, and Sleep Clinic is a multidisciplinary, clinical intervention for parents who identify infant crying as adversely affecting infant, parental, and/or family functioning. Pairing pediatric and mental health expertise provides parents with strategies to manage infant colic within a context that recognizes parental mental health needs. Clinical case material illustrates varying responses and degrees of psychological distress in mothers whose infants have colic. Treatment approaches to colic that take into account maternal mental health needs may contribute to more optimal infant, maternal, and family outcomes.     

Automatic and effortful processing after severe closed head injury

To investigate the automatic versus effortful distinction following severe closed head injury (CHI), we administered free recall and frequency of occurrence tasks to patients and controls. In Experiment 1 we found that both free recall (an effortful task) and judgment of relative frequency of occurrence (an automatic task) were impaired in 15 CHI patients as compared to 14 controls. In Experiment 2 we corroborated this finding and showed that absolute estimates of frequency were also impaired in new samples of 16 patients and 16 controls. We infer that cognitive tasks which normal individuals can perform without practice, feedback, or instructions may demand more effortful strategies following severe CHI.