如何避免卵巢良性肿瘤的过度治疗

卵巢肿瘤是妇科常见肿瘤之一,可分为良性、恶性、交界性肿瘤,及时处理卵巢良性肿瘤具有重要意义,但关于如何避免卵巢良性肿瘤的过度治疗,尚无定论。目前为止,关于卵巢肿瘤发生、发展机制的基础研究和诊疗技术正在取得较大的进步,对临床医师发挥着重要的指导和辅助作用。如何正确诊断卵巢良性肿瘤,如何选择合适的手术方式、实现个体化治疗,是避免卵巢良性肿瘤的过度治疗的关键。     

助产士与中国近代的分娩卫生

助产士在近代中国担当着普及现代产科知识、推行分娩卫生的重要角色.她们在助产学校中养成了职业神圣感以及以新法接生为核心的医学技能.然而,毕业后从事助产职业的状况却不容乐观.助产士的职业困境一方面来自旧式产婆的竞争,另一方面则受限于其与产科医生之间的从属关系.这在某种程度上影响了分娩卫生的推行.     

中外医疗质量管理的差异化研究

医疗质量是医疗活动的灵魂与核心,但是国内医疗质量管理较其他发达国家起步晚,许多方面存在差距.从主要的差距入手,寻求我国在进一步提高医疗质量管理上的突破口.主要从医疗质量管理制度体系、评价指标、信息网络利用三个方面分析我国医疗质量管理的现状与国外的差距.为进一步的改进措施提供借鉴与指导.     

杜光庭赐紫时间考辨

杜光庭是唐末五代著名的"道门领袖",也是当时重要的文学家。学界一般认为杜光庭被僖宗召见赐紫的时间在僖宗即位之初,本文认为此说不准确。杜光庭被召见赐紫当在僖宗入蜀之初,即中和元年(881)。875年,杜光庭因访道求经而离开天台,先后漫游浙江开化、武夷山、江西崇仁县的沸湖山等地,最后来到蜀中。876年后,杜光庭以成都为中心,漫游蜀中及周边地区。881年,唐僖宗逃奔成都,在成都召见杜光庭并赐紫。     

《老子河上公章句》的情欲论思想探析

《老子河上公注》以养生长寿为目的,立足于精气神并重的整体生命观,从精神活动的虚静与烦乱、中正与偏颇、内向与外向等不同的角度深入分析了情欲对人精神的完整性的破坏,主张除情去欲,并提出了以大道制御情欲的情欲调节思想方法,形成了系统的情欲论思想。这些思想对后世道教心性论的发展有一定影响。     

The dialogical self in a cultural contact zone: Exploring the perceived ‘cultural correction’ function of schooling

This paper discusses a qualitative study that explores the impact the development of a cultural contact zone has upon identity processes in the Dialogical Self. The analysis draws upon interviews with Irish nationals, immigrants and asylum seekers in a new cultural contact zone. The findings illustrate uncertainty experienced as a result of immigration, suggesting that the development of the contact zone caused cultural discontinuity. The individuals' uncertainty for their cultural identities' future viability demanded the development of identity strategies to maintain continuity with their perceived cultural future, where they were faced with cultural others. Identity repositionings and a strategy to maintain continuity will be explored in the current paper. The Irish and asylum seeker participants' unprompted focus on schooling will be explored as a continuity strategy. The participants constructed schooling as a tool for the ‘cultural correction’ of migrant children and a means for the assimilation of migrants into the Irish community. The paper discusses the function of this strategy for the two groups, and the theoretical integration of cultural level processes in the theory of the Dialogical Self. Copyright © 2009 John Wiley & Sons, Ltd.     

Alternative settings for liberal‐conservative exchange: Examining an undergraduate dialogue course

Given the polarization of the early 21st century political atmosphere in the U.S., intergroup dialogue has emerged as a unique alternative setting, with intentions of facilitating a more productive and thoughtful citizen engagement. Although cross‐partisan dialogue efforts are underway in community contexts, they have been slower to reach academic settings. This paper is an exploratory study of our own liberal‐conservative dialogue course at the University of Illinois–the first of its kind, to our knowledge. After describing basic features of the course, we identify themes from student journals and final evaluations suggesting both dialogue benefits and challenges. Finally, we discuss the growing literature around dialogue, questions of its long‐term impact, and larger potential barriers to participation in liberal‐conservative dialogue, specifically. Copyright © 2010 John Wiley & Sons, Ltd.     

Elaboration and numerical anchoring: Implications of attitude theories for consumer judgment and decision making

Researchers across many domains have examined the impact of externally presented numerical anchors on perceiver judgments. In the traditional paradigm, “anchored” judgments are typically explained as a result of elaborate thinking (i.e., confirmatory hypothesis testing that selectively activates anchor-consistent information in memory). Consistent with a long tradition in attitude change, we suggest that the same judgments can result from relatively thoughtful or non-thoughtful processes, with more thoughtful processes resulting in judgments that have more lasting impact. We review recent anchoring research consistent with this elaboration-based perspective and discuss implications for past anchoring results and theory in judgment and decision making.     

Effect of video self‐monitoring on procedural integrity

A video self‐monitoring treatment package was used to evaluate the procedural integrity of staff implementing behavioral guidelines for one child with autism. Staff members with low procedural integrity scores were asked to participate. The treatment package incorporated an implementation video which reviewed the relevant behavioral guidelines and a procedural integrity monitoring system. Each participant was taught to score a pre‐training video, which highlighted components of implementing behavioral guidelines, with a procedural integrity tool denoting correct implementation of the procedures. The participant then scored their own baseline video using a similar tool constructed to highlight the target student's behavior plan. Participant scores were compared to experimenter scores and verbal feedback was given by the experimenter if the scores varied. Results showed increased procedural integrity implementing the behavior guidelines from baseline to 100% implementation for two out of three participants. Copyright © 2010 John Wiley & Sons, Ltd.     

Love imagined: Working models of future romantic attachment in emerging adults

An attachment theory perspective guided this investigation of emerging adults' (N = 174) expectations regarding relational patterns in their future long‐term romantic relationships. Participants' working models of future romantic attachment were assessed by having them respond to an attachment measure with respect to an imagined future committed relationship. Dimensions of future attachment predicted participants' anticipated relationship dynamics in the imagined relationship, their focus on closeness and abandonment when writing about having a future long‐term relationship, and their change in state anxiety over the course of the study. These effects of future attachment remained statistically significant after controlling for current global attachment, parental caregiving sensitivity, and conflict between parents; most of these effects were not moderated by current dating status.