实施子宫切除手术中的人文关怀

子宫切除术是妇科手术中的一种常见术式,随临床技术的发展,目前已有许多可供选择的不同方式。实施子宫切除手术中,临床医生应采用哲学的辩证思维方法并尊重患者的自主选择,全面客观地评估患者的情况;更多从人文关怀的角度出发,做出符合患者个体术式的决策,力争达到最佳的治疗效果。     

The Admissibility of Research in Emergency Medicine

The main goal in this paper is to present the legal rules connected with medical experiment on human beings in emergency medicine and to explain the scope, significance, and meaning of these rules, especially with regard to their interpretation. As the provisions about medical experiments truly make sense only if they can be observed by the whole "civilised" international community, they are presented in the context of international law with reference to Polish law. By considering the appropriate regulations of research contained in legal documents, it is possible to formulate a catalogue of doctors' duties and patients' rights. This general catalogue refers to all kinds of medical research involving human beings. In the field of emergency medicine, general provisions are sometimes involved, and they are sometimes limited. The main and most important conclusion is that a medical experiment in emergency medicine is admissible only if previously indicated conditions based on general rules of conducting research are fulfilled.     

Uber die Regeln des Aussagenkalkuls

Ohne ZusammenfassungAllatum est die 21. Februarii 1952.     

Perceived motivational team climate in relation to task and social cohesion among male college athletes

The purpose of the study was to examine the relationship between perceptions of the motivational team climate and task and social cohesion among male college athletes. Basketball and soccer players (n = 179) completed two response measures, the Perceived Motivational Climate in Sport Questionnaire‐II (Newton, Duda, & Yin) and the Group Environment Questionnaire (GEQ; Carron, Widmeyer, & Brawley) before practice in a team setting near the end of the competitive season. Hierarchical linear modeling analysis revealed that individual perceptions of a task‐involving climate positively predicted, and perceptions of an ego‐involving climate negatively predicted, individual‐attraction‐to‐group task cohesion. Further analysis indicated that perceptions of a task‐involving climate also significantly predicted individual‐attraction‐to‐group social cohesion and group‐integration task cohesion. Perceptions of an ego‐involving climate failed to demonstrate any other predictive value in relation to team cohesion. Discussion underscores the beneficial nature of a task‐involving motivational team climate in regard to the formation and development of task and social cohesion among competitive male college athletes.     

Propositional discourse logic

A novel normal form for propositional theories underlies the logic pdl, which captures some essential features of natural discourse, independent from any particular subject matter and related only to its referential structure. In particular, pdlallows to distinguish vicious circularity from the innocent one, and to reason in the presence of inconsistency using a minimal number of extraneous assumptions, beyond the classical ones. Several, formally equivalent decision problems are identified as potential applications: non-paradoxical character of discourses, admissibility of arguments in argumentation networks, propositional satisfiability, and the existence of kernels of directed graphs. Directed graphs provide the basis for the semantics of pdl and the paper concludes by an overview of relevant graph-theoretical results and their applications in diagnosing paradoxical character of natural discourses.     

Using a CBT Approach to Teach Social Skills to Adolescents with Autism Spectrum Disorder and Other Social Challenges: The PEERS® Method

Deficits in social functioning are one of the hallmark features of autism spectrum disorder (ASD), yet very few evidence-based social skills programs exist for adolescents with ASD and other social challenges. The purpose of this paper is to provide an overview of one of the only empirically supported social skills programs for youth with ASD: The Program for the Education and Enrichment of Relational Skills (PEERS ^®). Developed at the UCLA Semel Institute for Neuroscience and Human Behavior, PEERS^® utilizes the principles of cognitive behavior therapy (CBT) to improve social functioning for youth with ASD and other social difficulties. One of the only empirically-supported social skills programs to disseminate published treatment manuals for mental health professionals and educators, the PEERS^® approach applies CBT methods of instruction including: didactic lessons (psychoeducation), role-play demonstrations, cognitive strategies, behavioral rehearsal exercises, performance feedback, homework assignments and review, and parent involvement within a small group treatment format. Results from four randomized controlled trials and one quasi-experimental study reveal significant improvements in overt social skills, frequency of peer interactions, and social responsiveness following this treatment protocol.     

Global ethics and human responsibility: challenges for the theory and the discipline

The aim of this article is to identify the main challenges for global ethics as an academic discipline. This article assesses the moral and practical justifications for common global principles. Individual and institutional responsibility on the supranational level is connected with the standard of human rights and the relational aspects of the globalised world. It also points out two separate problems which global ethics should aim to solve. The first is metatheoretical and methodological and concerns the discipline's lack of self-reflexiveness. The second is essential and concerns the clash of values (human rights and sovereignty). Regarding the second problem, the main future challenge of global ethics is to construct a measurement to bring political decisions closer to morality and more strongly connect rights with responsibilities.     

The ADH gene cluster SNP rs1789891 and temperamental dimensions in patients with alcohol dependence and affective disorders

This study had three objectives: (1) to assess the relationship between the single nucleotide polymorphism (SNP) rs1789891 in the alcohol dehydrogenase gene cluster and alcohol dependence and affective disorders; (2) to assess the differences in the Regulative Theory of Temperament (RTT) traits between an alcohol dependent group, an affective disorders group, and a healthy group; and (3) to assess the relationship between rs1789891 and temperament traits in a healthy group, taking into account the interaction of genotype and sex. The SNP rs1789891 was genotyped in a group of 194 alcohol dependent men, aged 21 to 71 years; 137 patients with affective disorders, including 51 males and 86 females, aged 19 to 85 years; and a group of 207 healthy individuals, including 89 males and 118 females, aged 18 to 71 years. Temperament traits (briskness, perseveration, sensory sensitivity, emotional reactivity, endurance, and activity) were assessed in all groups using the Formal Characteristics of Behaviour‐Temperament Inventory. The comparative analysis of genotypic frequencies showed no significant differences between patients with alcoholism or affective disorders and those in the control group. Alcohol dependent men and the affective disorder group were characterised by higher levels of emotional reactivity (p‐value 1.4e‐5 and 9.84e‐7, respectively) and lower levels of briskness, sensory sensitivity, endurance, and activity (p‐value from 3.76e‐8 to 0.012) when compared to the healthy group. The rs1789891 polymorphism was associated with briskness (p = 0.02), sensory sensitivity (p = 0.036), and activity (p = 0.049). None of the results were statistically significant after Bonferroni correction.