突破卫生资源宏观调控难关的思考

国务院决定 ,在建立城镇职工医疗保障制度的同时 ,进行医药卫生体制改革 ,以建立适应社会主义市场经济要求的城镇医药卫生体制 ,促进卫生机构和医药行业健康发展 ,提高人民的健康水平[1 ] 。这是进入 2 1世纪我国卫生事业改革与发展面临的历史任务。1　深化改革的关键切入点我国卫生体制改革从 80年代开始 ,首先进行了医疗机构所有制结构调整 ,形成了以公有制为主、多种所有制并存的格局[2 ] ,从而促进了卫生事业的发展。同时 ,卫生事业单位为了适应社会主义市场经济体制 ,也在管理模式、运行机制、经济管理、人事制度等方面 ,采取了多种改…     

Effect of image orientation on the eye direction aftereffect

After observing a face with the eyes looking to the left or right (adaptation stimulus), the perception of the eye direction of the subsequent face (test stimulus) is biased in the opposite direction of the adapted eye direction; this is called the eye direction aftereffect (EDAE). In the present study, the adaptation stimuli were rotated 90° (clockwise or counterclockwise) or 180° relative to the viewer. The EDAE was measured using upright test stimuli. For the 90° rotation, prior observation of the leftward and rightward eye directions biased the perceived eye directions of the upright test stimuli to the right and left, respectively. These results suggest that the adaptation was induced utilizing an object-based (or face-based) reference frame. For the 180° rotation, however, the results suggest that the adaptation was induced in a viewer-centered reference frame. The involvement of an object-based reference frame suggests that the EDAE reflected the adaptation of a relatively higher-level mechanism at least when the rotation angle from the upright position did not exceed 90°.     

An L1-script-transfer-effect fallacy: a rejoinder to Wang et al. (2003)

Do different L1 (first language) writing systems differentially affect word identification in English as a second language (ESL)? Wang, Koda, and Perfetti [Cognition 87 (2003) 129] answered yes by examining Chinese students with a logographic L1 background and Korean students with an alphabetic L1 background for their phonological and orthographic processing skills on English word identification. Such a conclusion is premature, however. We propose that the L1 phonological system (rather than the L1 writing system) of the learner largely accounts for cognitive processes in learning to read a second language (L2).     

三维干预促进小学生心理健康的研究

为了探索有效的小学生心理健康教育模式,以昆明市两所普通小学分别作为实验组和对照组进行了为期两年的实验研究,对影响小学生心理健康的主要因素:教师、家长和学生自身三个子系统进行了多侧面的三维干预。结果表明:(1)实验组学生比对照组学生的总体一般焦虑水平下降;(2)学习适应性提高;(3)问题行为症候群的学生人数和问题行为比干预前明显减少。验证了教师、家长、学生三维干预结合模式对促进小学生心理健康的有效性。     

Nicotinic cholinergic synaptic mechanisms in the ventral tegmental area contribute to nicotine addiction

Tobacco use is a major health problem that is estimated to cause 4 million deaths a year worldwide. Nicotine is the main addictive component of tobacco. It acts as an agonist to activate and desensitize nicotinic acetylcholine receptors (nAChRs). A component of nicotine's addictive power is attributable to actions on the mesolimbic dopaminergic system, which serves a fundamental role in the acquisition of behaviors that are inappropriately reinforced by addictive drugs. Here we show that nicotine, in the same concentration and time ranges as obtained from tobacco, has three main actions that regulate the activity of midbrain dopamine (DA) neurons. Nicotine first activates and then desensitizes nAChRs on the DA neurons. This process directly excites the DA neurons for a short period of time before the nAChRs desensitize. Nicotine also enhances glutamatergic excitation and decreases GABAergic inhibition onto DA neurons. These events increase the probability for synaptic plasticity, such as long-term potentiation. The short-lived direct excitation of the DA neurons coupled with the enhanced glutamatergic afferent activity provides the presynaptic and postsynaptic coincidence necessary to initiate synaptic potentiation. In total, these synaptic events lead to a relatively long-lasting heightened activity of midbrain DA neurons. Consistent with other summarized studies, this work indicates that the synaptic changes normally associated with learning and memory can be influenced and commandeered during the nicotine addiction process.     

Prosodic phrasing and attachment preferences

The attachment of a relative clause (RC) has been found to differ across languages when its head noun is a complex NP. One attempt to explain the attachment differences is the Implicit Prosody Hypothesis (IPH) proposed by Fodor (1998, 2002). The goal of this paper is to show how the default phrasing of a sentence (explicit prosody), defined phonologically, differs across seven languages (English, Greek, Spanish, French, Farsi, Japanese, and Korean), and how the prosodic phrasing of a sentence in each language, both default and nondefault, matches the interpretation of RC attachment by individual speakers. Observed tendencies show that there is a direct relationship between the prosodic phrasing and the interpretation of RC attachment, strongly supporting the IPH. In addition, the paper discusses the status of default phrasing and the factors affecting the default phrasing, including rhythmic and syntactic factors and their interactions.     

Connectedness and part-relation integration in shape category learning

We investigated the role of connectedness in the use of part-relation conjunctions for object category learning. Participants learned categories of two-part objects defined by the shape of one part and its location relative to the other (part-relation conjunctions). The topological relationship between the parts (connected, separated, or embedded) varied between participants but was invariant for any given participant. In Experiment 1, category learning was faster and more accurate when an object’s parts were connected than when they were either separated or embedded. Subsequent experiments showed that this effect is not due to conscious strategies, differences in the salience of the individual attributes, or differences in the integrality/separability of dimensions across stimuli. The results suggest that connectedness affects the integration of parts with their relations in object category learning.     

The effect of the physical versus mental presence of a high-powered person on consumers' healthy food choices

Consumers make distinct food choices when they see versus when they think about a powerful person. This research identifies two scenarios involving the presence of a high-powered other, physical presence versus mental presence, and examines the effect of the physical and mental presence of a high-powered other on consumers' healthy food choices. Conducting six experiments, we show that the physical presence of a high-powered other increases one's self-enhancement motivation and leads to healthier food choices, while the mental presence of a high-powered other increases one's perceived constraints and leads to unhealthy food choices. We also find that interpersonal closeness moderates the positive effect of the physical presence of a high-powered other on healthy food choices but does not moderate the negative effect of the mental presence of a high-powered other on healthy food choices.     

体悟:道德知行转化的基础

道德主体的知而不行是当今中国道德建设面临的症结之一。本文从知这一环节入手,认为当主体参与道德知识的生产,即从体悟中获得道德认识时,这种知对行最具影响力。体悟是道德知行转化的基础,它不是脱离实践的内求静悟,而是个体理性、情感和实践的有机结合,它重视亲身经验但不排斥他人经验。