基于文本阅读的间接接触也可改善公众对残疾人的态度

以镶嵌残疾人图片的正性行为描述性信息为文本阅读材料,以大学生为被试,采用概念启动范式,考察了健全人对残疾人态度改善的可能性.研究结果表明,阅读残疾人正性行为描述性材料不仅可以降低健全人对残疾人的负性认知评价,而且可以提高其对残疾人的钦佩感和减弱其对残疾人的嫌弃感,同时也可提高健全人对该类人群的积极趋近行为和减弱对该类人群的消极趋近和消极回避行为,从而证明基于文本阅读的间接接触可改善公众对残疾人的负性态度的假设.因此,创造条件鼓励残疾人尽力发挥其积极的社会功能,引导和塑造其身残志不残的品质,有助于改善健全人对该类人群的消极态度.     

住院医师医患沟通的问题及对策

医患沟通是新时代住院医师必须掌握的一门技能,是医学人文精神的体现。然而目前我国住院医师由于专业知识及技术的局限性,对医患沟通的认识存在着偏倚,以及我国医学教育缺乏沟通能力的培养,导致住院医师医患沟通能力缺乏,需要提高改善。本文基于当前医患关系以及住院医师医患沟通能力的现状,探讨为提高医疗服务质量,增进医患之间的相互理解和尊敬,创建和谐医疗关系,积极有效防范医疗纠纷,身为住院医师的我们应做些什么,做到什么。     

The Web-Based Assessment of Suicidal and Suicide-Related Symptoms: Factors Associated With Disclosing Identifying Information to Receive Study Compensation

With the increasing utilization of Web-based surveys for suicide and suicide-related research, it is critical to understand factors that affect participants' decision to request study compensation (and thus potentially reveal their identity) or remain anonymous. This study evaluated differences in demographics, suicidal symptoms, and suicide-related constructs between participants electing and declining to provide identifying information to receive study compensation. A sample of 931 firefighters (91.5% male) participated in a Web-based mental health survey; on survey completion, individuals had the option to provide contact information to receive a $10 gift card. Logistic regression analyses were employed to investigate differences between those who did and did not provide this information. Overall, 82.8% provided identifying information, with younger individuals significantly more likely to do so. Participants reporting more severe suicidal symptoms and greater levels of suicide-related constructs appeared equally, and in some cases, significantly more, willing to provide identifying information. Findings indicate that individuals reporting more sensitive or stigmatizing experiences might not systematically opt out of receiving study compensation to remain anonymous on Web-based surveys. Additional research is warranted to replicate these findings in more representative samples and further delineate personality and other factors influencing the disclosure of contact information to receive study compensation.     

权重望寡：如何化解低地位领导的补偿性辱虐管理行为?

权力与地位来源不同且体验有别, 二者分离是常态。如果领导者手握权柄却缺乏相应的地位威望, 将限制其控制力, 产生潜在不良后果。基于低地位补偿理论, 构建一个两阶段调节的中介模型, 设计两项研究, 旨在探索领导者“权重望寡” (即权力高, 地位低)所诱发的负面领导行为及其干预机制。研究1揭示: 相对于权力与地位匹配, 领导者权重望寡诱发辱虐管理。研究2探索其成因, 显示: (1)自我损耗中介权重望寡与辱虐管理的关系; (2)领导者正念以及更高层领导信任联合调节自我损耗的中介效应。研究表明, 低地位领导在维护地位过程中产生的自我损耗是引发辱虐管理的主因, 同时辱虐管理强度因人而异, 适可而止, 自身正念和高层信任有助于限制其作为不良补偿手段的蔓延。研究拓展了低地位补偿理论的应用领域, 也为化解权力与地位分离带来的组织冲突提供管理启示。     

慢性房颤的导管消融:时机已经成熟

心房解剖及电重构基础上的多发子波折返是慢性房颤的维持机制,支持线性消融策略;导管消融有关的操作逐渐标准化;盐水灌注导管和三维标测系统等新器械不断进展;慢性房颤消融策略的争议逐渐减少,采用肺静脉隔离加线性消融者越来越多;消融终点更多的以肺静脉隔离和线性阻滞为主,以直接终止心动过速为终点者减少.慢性房颤的导管消融时机已经成熟.     

慢性房颤导管消融：挑战与展望

随着对慢性房颤机制认识的深入以及消融方法不断探索,经导管消融在慢性房颤治疗的地位逐渐提高。尽管在适应证、消融策略、获益风险比及远期疗效等还存在一定争议,随着经验的积累和技术的进步,导管消融根治慢性房颤充满希望。     

从触摸的历史反思医学中触摸的应用

从触摸的定义、起源、应用发展演变阐明了其历史,并总结触摸在医学中的应用现状及特色。但由于历史、宗教、性别文化等因素的影响,触摸在医学中的应用存在一定障碍和困境,对这些应用困境进行反思,最终提出解决策略。     

The 2nd to 4th digit ratio (2D:4D) and eating disorder diagnosis in women

Eating disorders are more common in females than in males and are believed to be caused, in part, by biological and hormonal factors. Digit ratio or 2D:4D (the ratio of the 2nd to the 4th digit) is considered to be a proxy for prenatal testosterone (PT) and prenatal oestrogen (PE) exposure. However, how 2D:4D may be related to type of eating pathology is unknown. The relationship between 2D:4D and eating disorder diagnosis was investigated in recovered and currently eating disordered (n = 31) and control (n = 99) women. Mean 2D:4D ratio was significantly lower (indicating higher levels of PT and lower levels of PE) in anorexic (AN) compared to bulimic (BN) women, with controls intermediary. In eating disordered women, 2D:4D was positively and significantly related to current weight, lowest weight and current BMI, with strongest associations for right 2D:4D. Among women, low 2D:4D is related to AN and high 2D:4D to BN, suggesting a differential causal influence of prenatal sex hormones on later eating pathology.     

Examining a brief suicide screening tool in older adults engaging in risky alcohol use

Alcohol misuse increases risk of suicidal behavior in older adults. The Depressive Symptom Inventory‐Suicidality Subscale (DSI‐SS; Metalsky & Joiner, 1997) and its relation to suicide attempt history was examined to see if it differed for older adults as a function of their alcohol use. Structural equation modeling was used in a sample (N = 1,061) of older adult outpatients to examine the scale’s measurement invariance and population heterogeneity and its relation to suicide attempt history. Analyses supported the equivalence of the DSI‐SS in risky and nonrisky drinkers. The DSI‐SS significantly predicted past suicide attempts. Findings support the viability of the DSI‐SS as suicide screening tool for older adults.     

HBV相关肝细胞癌综合治疗中抗病毒的作用

分析抗病毒治疗在乙型肝炎病毒相关肝细胞癌的综合治疗中所起的作用.随着肝细胞癌治疗模式的转变,目前认为抗HBV治疗是HCC综合治疗的重要组成部分,应针对患者进行个体化、优化的多学科综合治疗,选择合适的高效、低耐药、低副作用的抗病毒药物,才能达到提高患者生活质量和延长生存时间的目的.