云南省大学生自杀行为及相关因素分析

采用SCL-90、青少年生活事件量表、应对方式量表、社会支持评定量表和自编的外显行为量表对云南省3313名大学生进行了测查,并探讨了包括自杀意念及自杀企图在内的自杀行为状况及其影响因素。结果表明:(1)427(13.2%)名大学生有自杀意念,卡方检验显示女生人数显著多于男生;154(4.7%)名大学生有过自杀企图,男女生人数没有显著差异;(2)自杀意念和自杀企图在人口统计学变量上有显著差异:在自杀意念上,女生、独生子女、文科生、来自城市的学生和不完整家庭的学生、月支出少于100元的学生得分显著高于与之对应的大学生;而在自杀企图上,只有来自城市的学生和不完整家庭的学生、月支出少于100元的学生得分显著高于与之对应的大学生;(3)大学生自杀意念和自杀企图与心理症状、生活事件、情感中心应对呈显著的正相关,与问题中心应对、社会支持呈显著的负相关;(4)在结构模型中,社会支持在心理症状和自杀行为中起到显著的调节作用,情感中心应对在生活事件、社会支持、社会支持对心理症状的调节作用中起显著的中介作用,而问题中心应对在生活事件、社会支持、社会支持对事件的调节作用中起显著的中介作用。     

替代指标在心血管疾病临床决策中的正确认识

在心血管疾病临床试验中,替代指标常用于评价干预措施的疗效。但替代指标在心血管疾病临床试验中非常复杂,因此,心血管医生在解读和评价心血管疾病临床试验的结果时,应正确认识替代指标的内涵、应用背景及其局限性,同时,还应客观地评价相关替代指标的证据强度,以寻找最好的医学证据指导其临床决策和实践。     

The Role of Job Challenge and Organizational Identification in Enhancing Creative Behavior among Employees in the Workplace

Organizations recognize the importance of creative employees and constantly explore ways to enhance their employees' creative behavior. Creativity research has directed substantial efforts to understanding how work environment fosters creativity. Yet, this research has paid little attention to the importance of specific characteristics of the work environment and organizational identification in augmenting creative behavior in employees at work. The present study examines the influence of job challenge on employees' creative behavior, arguing that organizational identification plays a mediating role in this relationship. The results show that organizational identification mediates the relationship between job challenge and employees' creative behavior.     

Spinoza’s Arguments for the Existence of God*

It is often thought that, although Spinoza develops a bold and distinctive conception of God (the unique substance, or Natura Naturans, in which all else inheres and which possesses infinitely many attributes, including extension), the arguments that he offers which purport to prove God’s existence contribute nothing new to natural theology. Rather, he is seen as just another participant in the seventeenth century revival of the ontological argument initiated by Descartes and taken up by Malebranche and Leibniz among others. That this is the case is both puzzling and unfortunate. It is puzzling because although Spinoza does offer an ontological proof for the existence of God, he also offers three other non‐ontological proofs. It is unfortunate because these other non‐ontological proofs are both more convincing and more interesting than his ontological proof. In this paper, I offer reconstructions and assessments of all of Spinoza’s arguments and argue that Spinoza’s metaphysical rationalism and his commitment to something like a Principle of Sufficient Reason are the driving force behind Spinoza’s non‐ontological arguments.     

活性蛋白C：想说爱你不容易

重组人类活性蛋白C（rhAPC）为治疗重症脓毒症的药物,目前有证据表明rhAPC的市场策略有可能已经影响到专业机构诊治指南的制定与执行;rhAPC的临床疗效亦未能被大型临床试验继续证实,因此目前rhAPC的临床应用以及疗效评价要慎重进行。同时,有必要深入反思药品生产商与专业组织的利益关系,并制订对策以加强监管。     

证候存在的逻辑回答

认为存在的就是客观的,包含了自然客观、思维客观和理性客观;把疾病现象和疾病本质划等号,在症状层面规范证候标准,抛弃中医辨证思维,就等于否定中医。物质不能等于客观,不能取代存在。证候属于理性客观,发生于中医学,是中医“阴阳神气”观念临床实在化(还原)的必然。     

让公众走近现代健康理念——从陈晓旭剃度出家及英年早逝说起

现代健康观是文明进步的产物。让公众走近现代健康观,是追寻人类理想,建设和谐社会,管好国家核心资源,全面提高人民群众健康水平的需要。按照现代健康观的基本精神开展健康教育,是当今社会的重要课题。     

对边缘性人格障碍亚型的研究

边缘性人格障碍是一种最常见的人格障碍.描述性精神病学、心理测验和精神分析的研究发现,边缘性人格障碍可能是由若干个异质性的亚群体组成,不同的亚群在症状表现、病因、心理病理机制、对治疗干预的反应和预后等方面可能都存在着很大的差异,可以根据不同的维度将其进行亚型分类,而使同一个亚群中的个体差异小于不同亚群之间的个体差异.