门诊老年患者医疗服务中存在的问题及其改进

文章从门诊老年患者就医需求的角度对医疗服务进行思考,认为医护人员在服务理念、有效沟通以及主动服务等方面存在的问题亟需改进.提出医护人员应当确立以老年患者需求为中心的门诊医疗服务理念,做到主动关心、及时询问、有效沟通、合理安排,从而提高老年患者就诊的满意度.     

发展性阅读障碍视听时间整合缺陷可能的机制：视听时间再校准能力受损

发展性阅读障碍的本质一直是研究者争论的焦点。大量研究发现,阅读障碍者具有视听时间整合缺陷。然而,这些研究仅考察了阅读障碍者视听时间整合加工的整体表现,也就是平均水平的表现,却对整合加工的变化过程缺乏探讨。视听时间再校准反映了视听时间整合的动态加工过程,对内部时间表征与感觉输入之间差异的再校准困难则会导致多感觉整合受损,而阅读障碍者的再校准相关能力存在缺陷。因此,视听时间再校准能力受损可能是发展性阅读障碍视听时间整合缺陷的根本原因。未来的研究需要进一步考察发展性阅读障碍者视听时间再校准能力的具体表现,以及这些表现背后的认知神经机制。     

Recall of anomalous sentences in dementia and amnesia

Alzheimer-type dementing patients were compared with amnesic (Korsakoff) patients, depressed patients, and healthy controls in the immediate recall of semantically anomalous sentences. It was found that the dementing (Alzheimer) patients were severely impaired in their recall of these sentences, but that the amnesic (Korsakoff) patients were not. Alzheimer patients have a severe impairment of short-term memory, and it is argued that this deficit may make Alzheimer patients especially dependent upon the presence of semantic cues in immediate verbal recall--hence, the removal or reversibility of these cues results in a collapse of their performance. Other research has indicated that Alzheimer patients also show impaired semantic processing, and the possible interaction of their short-term memory and semantic processing deficits is briefly discussed.     

The memory deficits in alzheimer-type dementia: A review

This review is an account of recent experimental studies of memory deficits at the early stages of Alzheimer-type dementia, evaluating these studies in relation to current theories of memory functioning in humans. Whilst memory deficits are found to be widespread, some aspects are more resilient to impairment than others. For example, the processes associated with articulatory rehearsal in working memory are unimpaired despite a reduction in performance on most tests of primary memory. The “implicit” aspects of secondary memory appear to remain unimpaired, in contrast to a marked decline in “explicit” or “episodic” memory. In addition, there is evidence that the rate of forgetting from secondary memory is normal. Some aspects of episodic and semantic memory are found to be impaired as a consequence of a decline in the efficient organisation and processing of verbal material at encoding or retrieval. It is concluded that the deficits share particular features found in organic amnesia, but with additional deficits which relate to impairments in other domains of functioning.     

Narcissism and Achievement Motivation as Related to Three Facets of the Sales Role: Attraction, Satisfaction and Performance

Relationships were posited between two personality constructs—narcissism and achievement motivation—and three facets of the sales role: attraction, satisfaction and performance. As predicted, currently and previously employed salespeople were more narcissistic and had stronger needs for achievement than individuals who were never employed in sales. Narcissism was positively associated with overall sales satisfaction and with level of comfort with ethically questionable sales behaviors; narcissism was unrelated to sales performance. In contrast, need for achievement was unrelated to sales satisfaction, negatively related to comfort with ethically questionable sales behaviors, but positively related to sales performance. Practical implications of these findings for sales recruiters and trainers are discussed.     

FDG-PET analysis and findings in amnesia resulting from hypoxia

The assumptions underlying neuroimaging, and problems in its analysis and interpretation, are commonly underestimated in neuropsychology. The ways in which fluoro-deoxy-glucose (FDG) positron emission tomography (PET) data can be analysed are discussed. PET findings from four patients who had suffered severe amnesia, following episodes of acute hypoxia, are presented. These patients had shown evidence of medial temporal (hippocampal and parahippocampal) atrophy on MRI brain scans. The PET data were analysed in several different ways. The converging findings were that the patients showed bilateral thalamic hypometabolism, and there was also evidence of retrosplenial hypometabolism bilaterally. Cognitively, these patients performed most like other patients with medial temporal lesions, but the results indicate that structural lesions can have distal metabolic effects on structures elsewhere. These findings are interpreted in the light of neuroanatomical observations concerning parallel projections between medial temporal lobe structures and the thalamus, some of which pass via the retrosplenium.     

高风险婴儿前瞻性纵向研究与孤独症谱系障碍早期识别

孤独症谱系障碍(Autism Spectrum Disorder, ASD)早期识别有助于早期诊断和早期干预的实施, 对于改善ASD儿童发育结果至关重要。高风险前瞻性纵向研究以高风险婴儿(ASD儿童的年幼同胞, 入组年龄小于12个月)作为主要研究对象, 通过对ASD高风险婴儿(24至36个月之间诊断为ASD的高风险婴儿)的早期发育轨迹的描绘和核心症状早期表现的识别, 为ASD早期识别提供了重要依据。未来可以增加被试数量、延长观察时间并密集观察时间点、关注伴发障碍、综合考虑遗传、环境和文化因素影响, 并结合早期干预研究进行深入探索。未来在中国开展相关研究具有重要的科学价值和临床意义。     

女性体形对吸引力与能力评价影响的分离效应

采用Stunkard等人编制的9点女性体形评定图片,使用排序法、评分法、评估法以及选美和选搭档的情景题目,对女性体形、吸引力与能力之间的关系进行了探索.各种方法一致发现吸引力与能力均和体形之间存在倒U形关系,但最具能力的体形和最具吸引力的体形并不一致,人们倾向认为偏瘦体形人物最具吸引力,但中等体形人物能力最强,存在分离现象.此外,女性虽不能正确知觉男性眼中最有吸引力的体形,但能正确知觉男性眼中最有能力的体形.本研究进一步发现,男性的分配观念可为女性不惜牺牲能力评价而热衷减肥的行为提供一定的解释.本研究的结果有助于人们认清体形吸引力与体形所展现出来的能力的分离关系,帮助女性更加理性地认识自己的体形.同时,该研究结果还可为有效减少女性盲目减肥提供科学依据.