树立急救白金1O分钟理念,提高社区猝死抢救成功率

探讨建立社区急救体系提高猝死抢救成功率,比较国际与我国的急救现状、分析建立社区急救体系的保障因素、建立大众与社区急救流程、分析"急救白金十分钟"抢救的时效性规律.提出建立社区以家庭为个体急救单位、单元有志愿者、大楼设置救护小组、社区内建立自救站的大众急救网络;在其中组织多层面的大众急救宣传的培训;设置醒目的急救器械;设置社区内的急救流程.社区医院的建设需要政府的大力支持,要努力提高急救人员素质、建立长期培训和准入制度、高危人群筛查、建立对讲呼叫通讯网络、配备急足够的急救器材.最终建立和达到社会范畴的"急救白金十分钟"的时效性理想.     

医疗卫生产业组织研究与卫生政策

产业组织理论是经济学的重要分支之一,卫生经济的发展需要借鉴它的手段和方法,需要研究医疗卫生产业组织的相关问题.农村新型合作医疗的建立和发展,城市医疗卫生服务体系的再造,都离不开医疗卫生产业组织研究.市场,特别是非完全竞争的医疗服务市场,它的市场结构、市场主体行为和市场绩效之间内在的本质联系,是卫生政策能够发生应有效力的作用点.     

Physical and psychological aggression in dating relationships in Spanish university students

The presence of violent behaviors of a psychological and physical nature in dating relations was analyzed in a sample of Spanish university students between 18 and 27 years of age. The results indicate a high prevalence of both kinds of aggression in interpersonal relationships, revealing important typology differences between the sexes. Violent psychological behaviors (characterized by the presence of verbal aggression and coercive and jealous behaviors) and physical aggression were significantly higher in women, though the consequences of physical aggression were worse for the women's health. The implications of the results and their possible relation with more severe violent acts in more stable, emotional relationships are discussed.     

Resources for health: a primary-care-based diet and physical activity intervention targeting urban Latinos with multiple chronic conditions.

OBJECTIVE: The Resources for Health trial evaluates a social-ecologically based lifestyle (physical activity and diet) intervention targeting low-income, largely Spanish-speaking patients with multiple chronic conditions. DESIGN: A randomized controlled trial was conducted with 200 patients recruited from an urban community health center and assigned to intervention and usual care conditions. Intervention involved 2 face-to-face, self-management support and community linkage sessions with a health educator, 3 follow-up phone calls, and 3 tailored newsletters. MAIN OUTCOME MEASURES: Primary outcomes measured at 6-months were changes in dietary behavior and physical activity. Changes in multilevel support for healthy living were evaluated as a secondary outcome. RESULTS: After adjustment for age, sex, language, and number of chronic conditions, significant intervention effects were observed for dietary behavior and multilevel support for healthy lifestyles but not for physical activity. CONCLUSION: The Resources for Health intervention provides an effective and practical model for improving health behavior among low-income, Spanish-speaking patients with multiple chronic conditions.     

Generalized expectancies for negative mood regulation predict change in anxiety and depression among college students

Negative mood regulation (NMR) expectancies, or the beliefs held by individuals that, when faced with various manifestations of stress and negative affect, they can successfully cope with such mood states, have proven to be a most useful construct in the context of better understanding self-regulatory processes. In the present prospective study, we examined the predictive utility of NMR expectancies with respect to its ability to predict residual change in both depressive and anxiety symptoms over an 8-week timeframe in a sample of 322 college students. Initial correlational analyses revealed that, as anticipated, NMR expectancies were negatively correlated with depressive and anxiety symptomatology, as well as with maladaptive coping style. Conversely, NMR expectancies were positively associated with self-reported adaptive coping. A series of hierarchical regression analyses revealed that, even when controlling for age, sex, baseline levels of affective distress (depression or anxiety), and coping styles, NMR expectancies predicted change in both depressive and anxiety symptomatology. Implications of the findings pertinent to theory building and testing are discussed.     

Syntactic priming in 3- and 4-year-old children: evidence for abstract representations of transitive and dative forms

The current studies used a syntactic priming paradigm with 3- and 4-year-old children. In Experiment 1, children were asked to describe a series of drawings depicting transitive and dative relations to establish baseline production levels. In Experiment 2, an experimenter described a similar series of drawings using one of two syntactic forms (i.e., active/passive for transitive; double-object/prepositional for dative). Children were then asked to describe pictures identical to those shown in the corresponding baseline procedure. In both transitive and dative conditions, 4-year-old children were more likely to use a particular syntactic form if it had been used by the experimenter. Three-year-old children did not show priming effects, but their production of transitive sentences was higher following transitive primes than in Experiment 1. In Experiment 3, an additional group of 3-year-olds participated in a procedure in which they repeated the experimenter's sentences before describing the pictures. This procedure yielded significant priming effects for transitive and dative forms. These results indicate that very young children possess abstract syntactic representations, but that their access to these representations is sensitive to task demands.     

The varieties of speech to young children

This article examines caregiver speech to young children. The authors obtained several measures of the speech used to children during early language development (14-30 months). For all measures, they found substantial variation across individuals and subgroups. Speech patterns vary with caregiver education, and the differences are maintained over time. While there are distinct levels of complexity for different caregivers, there is a common pattern of increase across age within the range that characterizes each educational group. Thus, caregiver speech exhibits both long-standing patterns of linguistic behavior and adjustment for the interlocutor. This information about the variability of speech by individual caregivers provides a framework for systematic study of the role of input in language acquisition.     

Infant observation: A range of questions and challenges for contemporary psychoanalysis1

The author attempts to integrate several perspectives within the field of infant observation that reflect the analyst's personal experience as a clinician, as a professor at the analytic institute and as a researcher in the field of psychoanalysis. Can infant observation contribute to analytic technique, theory and training? If so, what would be the nature of such contribution? To answer these questions, the author reviews the literature on infant observation from Freud to the present, highlighting Latin American contributions to this subject. She makes reference to the role of technological innovations, which have allowed videotaping, repeated observations, temporal segmentation and computerized programs, thus giving rise to microanalytic research. This discussion prompts the question about the contributions made by systematic research to clinical practice. To tackle this question, the author presents both a clinical vignette taken from her personal experience, and the current debate on this subject as it appears in the work of Daniel Stern and André Green. Finally, she presents some conclusions that are part of an ongoing debate in the psychoanalytic field.     

巴西医疗保障体系

从巴西医疗保障体系的建立、资金筹集和使用等方面介绍巴西医疗保障体系,重点关注巴西全民统一医疗制度。鉴于巴西与我国在卫生系统绩效和医疗保障制度改革中所面临的相似挑战,试图通过对巴西医疗保障体系比较详细地介绍及与我国进行简单的对比,总结成功经验、吸取教训为我国建立全民覆盖的医疗保障体系提供借鉴和参考。