女性盆腔脏器脱垂的传统手术治疗

对于女性盆腔脏器脱垂的手术治疗,传统的手术方式包括阴道封闭术、曼氏手术和阴式全子宫切除术.阴道封闭术操作相对简单,适用于无性生活要求的、合并症较多的年老体弱者,但术后可能存在新发压力性尿失禁,并且导致性功能障碍,术中是否切除子宫尚有争议.曼氏手术保留子宫、操作简单,但术后脱垂复发及妊娠后宫颈机能不全问题仍有待研究.阴式全子宫切除术对于POP-Q评分II期及以内的脱垂患者,治疗效果最佳,期别高的患者术后复发仍可使用保守或再次手术治疗补救,本手术方式术后较少出现性交痛.总而言之,选择适当的适应证并积极与患者沟通后,女性盆腔脏器脱垂的传统手术治疗仍为不错的治疗方式.     

医学人文学科创新成果的展示——评《医学与语言》

《医学与语言》是邱鸿钟教授集20余年心血完成的一部对“医学的历史、主体文本和临床的语言观”进行系统研究的学术专著,是一部具有一定理论深度和强烈实践精神的原创性论著.《医学与语言》开辟了医学人文研究的新领域;拓展了医学人文研究的新视野;提升了理论服务社会的新境界.     

Situational differences in dialectical emotions: Boundary conditions in a cultural comparison of North Americans and East Asians

Past research generally suggests that East Asians tolerate opposing feelings or dialectical emotions more than North Americans. We tested the idea that North Americans would have fewer opposing emotions than East Asians in positive, but not in negative or mixed situations. Forty-seven European American, 40 Chinese, and 121 Japanese students reported the emotions that a protagonist of standardised positive, negative, and mixed situations would feel. Emotions were coded into three valence categories: pleasant, unpleasant, and neither-pleasant-nor-unpleasant. As predicted, cultural differences in opposing emotion associations were found in positive situations only. Moreover, East Asians reported more neither-pleasant-nor-unpleasant feelings, especially in mixed situations, possibly reflecting a deferral of valence appraisal due to expected change.     

The impact of interpersonal affective relationships and awareness on expertise seeking: A multilevel network investigation

Transactive memory theory suggests that general awareness of expertise location in a group is sufficient to predict expertise seeking. Yet expertise seeking is, at least in part, a social phenomenon between two individuals embedded in a network of social relationships. Taking a multilevel, network perspective, we examined the interplay of affective relationships and awareness on expertise seeking in groups. Hypotheses were tested using network data collected from 693 employees in 53 sales groups. HLM analysis results indicated that awareness of expertise distribution positively influenced the decision to seek expertise at all levels of analysis examined. In addition, both positive and negative affective relationships influenced expertise seeking, although their pattern of influence differed across different levels of analysis. More specifically, having either a positive or a negative affective relationship with another group member affected the decision to seek expertise from that person. Although having many positive relationships had a positive effect on expertise seeking, having many negative affective relationships had no effect. Moreover, having both an awareness and a positive affective relationship with another group member amplified their positive effect on expertise seeking. Last, individuals who had more negative affective ties were less likely to leverage the positive impact of each awareness relationship on expertise seeking.     

评吉登斯对马克思的“两种商品化”理论的分析

文章紧紧围绕吉登斯思想的展开基点即"两种商品化理论",通过吉登斯理解资本主义社会存在、分析资本主义劳动的必然特征及其所蕴含的资本主义社会的权力本质三个方面的论证,指出了吉登斯思想与马克思思想的关联性.     

60年来关于发现“新行星木王星”的论战

从1945年起一直到现在,一场延续不断的关于发现"新行星木王星"的论战是我国现代科学史上引人注意的一件重大事件。这事件从抗战时期的重庆、昆明直到21世纪的北京,断断续续,没完没了。已经经过科学论证过了的问题,一遇机会就又沉渣泛起,混淆是非,欺骗大众。     

目标拾取运动特性研究

对人体的目标拾取运动特性进行了研究,提出截止目标疋度的概念,推导目标拾取运动的时间计算方程,重新定义了难度指数,试验数据表明该计算方程对目标拾取运动能够给予较好的描述。     

全国第五次真理问题讨论会综述

１９９８年９月２４日至３０日,全国第五次真理问题讨论会在黄山市召开。会议由中国辩证唯物主义研究会、中国社会主义社会辩证法研究会、安徽省委党校和北大、人大、北师大、吉大、安大的哲学系联合发起。有１１０多名专家学者与会,收到学术论文９０多篇。讨论会的主旨...     

In search of the ‘Aha!’ experience: Elucidating the emotionality of insight problem‐solving

Although the experience of insight has long been noted, the essence of the ‘Aha!’ experience, reflecting a sudden change in the brain that accompanies an insight solution, remains largely unknown. This work aimed to uncover the mystery of the ‘Aha!’ experience through three studies. In Study 1, participants were required to solve a set of verbal insight problems and then subjectively report their affective experience when solving the problem. The participants were found to have experienced many types of emotions, with happiness the most frequently reported one. Multidimensional scaling was employed in Study 2 to simplify the dimensions of these reported emotions. The results showed that these different types of emotions could be clearly placed in two‐dimensional space and that components constituting the ‘Aha!’ experience mainly reflected positive emotion and approached cognition. To validate previous findings, in Study 3, participants were asked to select the most appropriate emotional item describing their feelings at the time the problem was solved. The results of this study replicated the multidimensional construct consisting of approached cognition and positive affect. These three studies provide the first direct evidence of the essence of the ‘Aha!’ experience. The potential significance of the findings was discussed.     

Predicting Short‐Term Remembering as Boundedly Optimal Strategy Choice

It is known that, on average, people adapt their choice of memory strategy to the subjective utility of interaction. What is not known is whether an individual's choices are boundedly optimal. Two experiments are reported that test the hypothesis that an individual's decisions about the distribution of remembering between internal and external resources are boundedly optimal where optimality is defined relative to experience, cognitive constraints, and reward. The theory makes predictions that are tested against data, not fitted to it. The experiments use a no‐choice/choice utility learning paradigm where the no‐choice phase is used to elicit a profile of each participant's performance across the strategy space and the choice phase is used to test predicted choices within this space. They show that the majority of individuals select strategies that are boundedly optimal. Further, individual differences in what people choose to do are successfully predicted by the analysis. Two issues are discussed: (a) the performance of the minority of participants who did not find boundedly optimal adaptations, and (b) the possibility that individuals anticipate what, with practice, will become a bounded optimal strategy, rather than what is boundedly optimal during training.