并发症内涵刍议

并发症概念的不明确,使得临床及司法实践中出现诸多问题,如部分医务人员注意力降低、医患矛盾升级,对医疗损害鉴定及判决产生了不利影响.应从疾病诊断和诊疗操作两方面理解并发症的内涵,明确并发症并不一定是医院的免责事由,并规范对这一概念的使用.     

美学教育的积极心理学医用价值探析

多重的现代化危机凸显了美育的时代意义,没有哪一个时代比现在更需要美的滋养.通过梳理美育和积极心理学的内在契合性,对美学教育潜在的积极心理学医用价值进行多维剖析,总结出美育之于积极心理学在激活生命、调适情绪、优化人格等心理审美方面的医学应用价值.     

医学人文学研究中实证方法应用之我见

医学人文学是事实科学,也是价值科学,表现为客观与主观、真理与价值、事实与规范的统一.医学人文学研究中实证方法的广泛应用,是其学科自身属性和学科发展的必然要求.就医学人文学研究过程中,独立个案的实证研究、归纳分析中实证典型的选用和实证问卷调查分析三种情况及其必须特别注意的问题进行了探讨.     

利用药物包装制售假药的侵权责任

在利用药物包装制售假药致人损害案件中,医院清洁人员与制售假药者构成共同侵权行为,应当承担共同侵权责任.医院未尽到相应监管职责,与制售假药者构成二人以上无意思联络的按份侵权责任,应当承担相应的补充责任.同时,为了加强对受害人的救济,建议采取社会保险以及救助基金机制,补充侵权责任法的不足.     

现代针灸学的科学研究不应受制于传统

创新无止境,现代针灸学的科学研究不应当受制于古人总结的概念、学说.将传统的概念范畴作为实证研究的对象是犯了先入为主的错误.中医针灸需要人文滋养,但人文滋养无法取代科学的支撑.以传统概念体系指导现代针灸学的科学研究是事前为自己设置的桎梏,这类课题立项时就决定了其结果的悲壮命运.     

慢性硬膜下血肿患者临床路径实施效果分析

临床路径是确保医疗质量、控制医疗成本和优化医疗服务流程的管理工具.本文通过对实施临床路径前后的各项管理指标进行对比分析,探讨临床路径在慢性硬膜下血肿患者中的应用成效.研究表明通过实施临床路径,缩短了住院时间,降低了住院费用,提高了患者满意度,提高了医疗资源的有效利用率,降低了医疗资源消耗,有利于促进医院质量管理持续改进.     

启蒙式沟通

无过错纠纷在所有医疗纠纷中占比过半,原因在于医患沟通的失误,本质在于医患双方知识结构和社会阅历存在巨大差异.其危害性大于医疗事故,容易导致医患两个群体间的情绪对立.本文结合临床实际提出“启蒙式沟通”是杜绝此类纠纷的有效方法,并阐述了常用的实施方式.     

左右半脸及其位置对面孔吸引力的影响

本研究将拼嵌技术（chimera technique）和融合技术（Morph tech—nique）结合起来,制作新形式的面孔刺激,将“刺激”和“位置”分离并分别操纵,检验了左右半脸及其位置对面孔吸引力的影响。实验结果显示：（1）“刺激”和“位置”都会影响面孔吸引力;（2）“刺激”的影响是直接的,具体表现为右半脸不论呈现在面孔的左侧还是右侧,其吸引力总是高于左半脸的吸引力;（3）“位置”的影响模式较为复杂,具体表现为左右半脸在原始位置呈现时（右丰脸呈现在右侧,左半脸呈现在左侧）,其吸引力总是高于镜像位置。     

Stress induces glucocorticoid-mediated apoptosis of rat Leydig cells in vivo

Stress can disrupt endocrine signalling in the male reproductive axis through high concentrations of glucocorticoids, the hallmark of stress. Our previous work revealed that a stress level of exogenous glucocorticoids could induce apoptosis of rat Leydig cells, which are the primary source of testosterone. The aim of this study was to investigate whether stress can induce apoptosis in rat Leydig cells in vivo and, if so, whether the process is the result of a direct effect of glucocorticoids. In a chronically stressed rat model, serum corticosterone concentration was increased significantly whereas serum testosterone was decreased. The frequency of apoptotic Leydig cells in stressed rats was also increased. Adrenalectomised rats subjected to chronic stress showed an elevated serum testosterone, while the apoptotic frequency of Leydig cells was not increased. It was established that glucocorticoid-induced Leydig cell apoptosis is mediated by glucocorticoid receptors (GRs), which translocate from cytoplasm to nucleus. Adenovirus microRNA-induced downregulation of GR expression in vitro alleviated the corticosterone-induced increase in apoptosis of Leydig cells. These results indicate that the stress-induced increase in corticosterone secretion resulted in apoptosis in rat Leydig cells in vivo, and thereby decreased testosterone synthesis.     

Confucian dynamism work values and team performance: A multiple‐level analysis

In this study we clarified the multiple‐level effects of Confucian‐related work values, including self‐discipline and interpersonal ethics, on the performance of individuals and the team. Empirical data of 70 work teams with 472 team members from Taiwanese enterprises were collected to test our hypotheses. Results showed that, at the group level, shared team values of interpersonal ethics were positively related to team performance through the partial mediation of team cooperation. For cross‐level effect, shared team values of interpersonal ethics and individual member's self‐discipline values were both positively related to individual performance. The implications of Confucian dynamism work values on contemporary organizational management and indigenous Chinese team theories were provided.