心理不安全状态下决策者的风险偏好

心理不安全感是指人们对可能遭受的伤害与威胁的担忧与焦虑。当下, 许多个体都是在心理不安全的状态下进行决策。对于心理不安全状态下的风险偏好规律, 现有研究得到了矛盾的结果。此外, 心理安全感对风险偏好的作用机制尚不明确。本研究聚焦心理安全感对风险偏好的影响, 考察心理安全感的补偿机制在其中的中介作用, 并探讨选项分布情况在其中的调节作用, 以此揭示心理安全感为何及如何作用于风险偏好。研究结果将有助于明确决策者在心理不安全状态下的风险偏好规律, 从而完善现有的风险决策理论。同时, 为公共管理政策制定提供科学依据。     

气质性乐观的正性偏向及其神经生理研究证据

气质性乐观是对未来的总体的积极期待。乐观能够带给个体诸多好处, 如有利于提高身体健康, 提高幸福感, 促进成功等等, 究其原因可能是乐观者存在正性偏向。这一偏向主要体现在注意、知觉、记忆、解释风格、应对策略的选择、情绪、期待及动机方面。而乐观者正性偏向产生的神经生理机制可能与前扣带回喙部、前额叶皮质的激活水平变化有关。未来研究可将乐观的核心--期待--作为重点, 整合期待−价值理论、人格理论与神经基础来进一步探讨乐观的心理机制。     

医院管理公司"两权分离"的实践与思考

上海仁济医疗管理有限公司作为一家专业化的医院管理公司,以医院的委托经营管理为主要模式,在我国公立医院"两权分离"理论的实践和公立医院的职业化管理方面,逐步形成一套具有系统与特色的管理体系.通过介绍其运作模式和主要内容,初步评价其实施效果.     

教学警示病例在骨科教学中的应用与思考

骨科教学警示病例主要就是指用于教学,并和骨科基本知识理论及伦理有关的误诊误治病例,按照骨科内容相关的原则进行分类.在骨科教学中适当的插入一些警示病例可以起到加深印象、辅助记忆,提高责任意识,强化人性医学的作用.同时我们注意控制警示教育病例的数量;合理穿插、安排教学警示病例,并配合其它教学方法教学,课堂气氛活跃,效果良好,随访结果满意.     

中等强度情绪性图片的神经机制——一项fMRI研究

采用修订后的中等唤起度的国际情绪图片为刺激材料,以12名女性大学生为被试,考察情绪性图片引起的脑激活模式。结果发现,与中性条件相比,消极情绪图片激活了枕叶、杏仁核、海马旁回和壳核。积极情绪图片引起枕叶、内侧眶额、额中回等脑区的激活,研究结果再次验证了杏仁核与消极情绪的密切关系,同时推测,内侧眶额可能是中等唤起度的趋近性积极情绪的一个脑功能区。     

Do positive illusions predict overconfidence in judgment? A test using interval production and probability evaluation measures of miscalibration

We address the question as to whether judgmental overconfidence, as assessed by probability miscalibration, is related to positive illusions about the self. We first demonstrate that judgmental overconfidence measured with interval production procedures can be considered a trait, due to correlations observed in miscalibration scores in two sets of general‐knowledge questions of varying difficulty administered at different times. In addition, the hard‐easy effect operated in different ways on overprecision and self‐placement of one's performance relative to others: The more difficult the calibration task, the greater the over precision but the greater the under placement of one's performance. Finally, there was no evidence that miscalibration was related to dispositional optimism and self‐efficacy. A second study extended these results by including further measures of disposition to experience positive illusions such as unrealistic optimism, a general tendency to consider oneself “better‐than‐average,” and two indexes of dispositional perception of control. The positive illusion measures showed considerable inter‐correlations, but did not correlate with miscalibration on the interval production task, and correlated negatively with optimism concerning societal risks. A final study replicated this pattern of findings, but showed that disposition to positive illusions did predict miscalibration on the same questions measured with a probability evaluation technique. Our research demonstrates that “overconfidence” is not a unitary construct, but a series of overlapping ones. Copyright © 2010 John Wiley & Sons, Ltd.     

OSAHS在2型糖尿病发病中的作用与对策

阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)是一种常见的睡眠呼吸紊乱性疾病,以睡眠时反复发作的上气道部分或完全阻塞为特征.近年发现OSAHS与2型糖尿病之间有着明显的相关性,二者均为心血管疾病的高危因素,合并存在能够严重影响生命质量与预期寿命,选择合适的治疗方案对改善患者治疗效果及改善预后具有十分重要的意义.     

OSAHS在2型糖尿病发病中的作用与对策

阻塞性睡眠呼吸暂停综合征（obstructive sleep apnea hypopnea syndrome,OSAHS）是一种常见的睡眠呼吸紊乱性疾病,以睡眠时反复发作的上气道部分或完全阻塞为特征。近年发现OSAHS与2型糖尿病之间有着明显的相关性,二者均为心血管疾病的高危因素,合并存在能够严重影响生命质量与预期寿命...     

原发性甲亢合并严重肝损伤患者的循证治疗

为原发性甲亢合并严重肝损伤患者制定循证治疗方案。根据PICO原则,提出临床问题并转换成便于检索的形式,检索美国国家指南交换中心（NGC）、Cochrane图书馆（2010年第3期）、PubMed（1995-2010．11）和维普数据库（CHKD,1995～2010．11）。根据检索结果,制定治疗方法,2月后患者肝功能、...     

Walking dreams in congenital and acquired paraplegia

To test if dreams contain remote or never-experienced motor skills, we collected during 6 weeks dream reports from 15 paraplegics and 15 healthy subjects. In 9/10 subjects with spinal cord injury and in 5/5 with congenital paraplegia, voluntary leg movements were reported during dream, including feelings of walking (46%), running (8.6%), dancing (8%), standing up (6.3%), bicycling (6.3%), and practicing sports (skiing, playing basketball, swimming). Paraplegia patients experienced walking dreams (38.2%) just as often as controls (28.7%). There was no correlation between the frequency of walking dreams and the duration of paraplegia. In contrast, patients were rarely paraplegic in dreams. Subjects who had never walked or stopped walking 4–64 years prior to this study still experience walking in their dreams, suggesting that a cerebral walking program, either genetic or more probably developed via mirror neurons (activated when observing others performing an action) is reactivated during sleep.