专科医生应注重整体性和系统思维训练——由一例甲亢患者门诊长期误诊引发的哲学思考

临床医学专科的发展对促进医学科学的进步起到了重要的推动作用,尽管它可能缺乏整体性、系统性临床思维,但在可预见的将来,它仍是综合性医院医疗实践的主旋律,医学界应对此有较为清醒的认识。本文从哲学的角度分析了造成误诊的原因,然后指出防止或减少误诊的途径是培养科学的临床思维,并提出了在临床过程中培养整体思维和系统性科学思维的一些方法。     

法治一元与中国法律传统

法治是一元的,法律是多元的。中国传统法律形式多样,不乏善法的存在,但是缺乏法的统治,所具有的善法只是人治的l工具,中国法律传统中更多的是非法治因素。法治多元理论偏离对法治正确认识,引起理论混乱。抛弃法治多元理论,正确认识中国的法律传统,对建设法治中国,具有重要现实意义。     

肿瘤内科治疗的疗效评价

肿瘤内科治疗是肿瘤综合治疗三大手段之一,在肿瘤治疗中占有举足轻重的地位。肿瘤内科治疗的疗效评价也逐步发展和完善。新的疗效评价指标逐渐被接受,延长生存期和提高肿瘤病人的生存质量已成为肿瘤内科治疗疗效评价的原则,临床肿瘤学工作者应转变观念,以利于更好地开展临床工作。     

Culture, Change, and Prediction

Five studies showed that Chinese and Americans perceive change differently. Chinese anticipated more changes from an initial state than Americans did. When events were changing in a particular direction, Chinese were more likely than Americans to predict change in the direction of change. Moreover, for patterns with changing slopes, Chinese predicted greater change in the way slopes changed, in comparison to Americans. In addition, people who predicted change were perceived as wise by Chinese more than by Americans. Implications for social attribution, tolerance for contradiction, persistence on tasks, and the illusion of control are discussed.     

Confirmation and the generalized Nagel–Schaffner model of reduction: a Bayesian analysis

Synthese - In their 2010 (Erkenntnis 73:393–412) paper, Dizadji-Bahmani, Frigg, and Hartmann (henceforth ‘DFH’) argue that the generalized version of the Nagel–Schaffner...