突破卫生资源宏观调控难关的思考

国务院决定 ,在建立城镇职工医疗保障制度的同时 ,进行医药卫生体制改革 ,以建立适应社会主义市场经济要求的城镇医药卫生体制 ,促进卫生机构和医药行业健康发展 ,提高人民的健康水平[1 ] 。这是进入 2 1世纪我国卫生事业改革与发展面临的历史任务。1　深化改革的关键切入点我国卫生体制改革从 80年代开始 ,首先进行了医疗机构所有制结构调整 ,形成了以公有制为主、多种所有制并存的格局[2 ] ,从而促进了卫生事业的发展。同时 ,卫生事业单位为了适应社会主义市场经济体制 ,也在管理模式、运行机制、经济管理、人事制度等方面 ,采取了多种改…     

The Contribution of Neuroimaging to the Study of Language and Aphasia

New structural and functional imaging methods continue to be developed at a rapid pace. In the last 25 years, advanced imaging techniques have provided insights into how language is represented and processed in the brain and how it can be disrupted by damage to, or dysfunction of, various parts of the brain. Imaging studies have also yielded new information regarding how individuals recover language after stroke. We briefly review the strengths and weaknesses of the various radiological methods currently used to study language and aphasia.     

Documentary Bioethics: Visual Narratives for Generations X and Y

Narrative bioethics is primarily understood to involve storytelling through the use of literature. This article suggests that other forms of media are necessary to convey stories of an ethical nature to an audience broader than one being trained as medical professionals. "Documentary bioethics" is a manner to present and interpret stories of an ethical nature using forms of popular electronic media in a reality-based documentary style to society at large, specifically Generations X and Y.     

论马一浮"六艺之学"视野中的易学研究

作为现代新儒家早期思想的代表人物,马一浮先生提出了以儒家"六艺之学"统摄天下诸学的主张.这是马先生的一个创举,体现着他对传统儒学有意识地改造和发扬.作为"六艺之学"的一个分支,易学研究在马一浮先生的学术研究中无疑具有着"本体论"地位和作用,它所体现的"心之本体",不仅是"六艺"所自出的本原,也是"六艺之学"共同的目的和归宿.     

Habitual Prospective Memory and Aging: Remembering Intentions and Forgetting Actions

Routine or habitual prospective memory tasks (e.g., taking medication) have the potential for creating confusions regarding whether or not an action has already been performed. We developed a laboratory paradigm for examining the kinds of processes thought to be operating in these kinds of tasks. Younger and older participants were asked to perform an action once and only once on each of 11 trials. The results showed that age and divided attention contributed to both omission and repetition errors. This new paradigm reveals memory failures in a habitual prospective memory task, and the results demonstrate that older adults are particularly susceptible to these memory problems.     

Within-family reproductive technologies as a solution to childlessness due to infertility: Psychological issues and interventions

Patients choosing new reproductive technologies benefit from psychological consultation as they face unforeseen emotional and interpersonal sequalae from these procedures. This paper focuses on those patients who choose family members or close friends (i.e., known donors) to donate sperm or eggs or uteri in order to conceive and produce their babies. Medical family therapy offers these patients and families a framework from which to examine the biological, psychological, and interpersonal issues involved in these within-family solutions to childlessness due to infertility.This paper is a revision of a talk, Medical Family Therapy, Infertility, and the New Reproductive Technologies, given at the 1994 annual meeting of the American Psychological Association on August 4 in Los Angeles, CA, as part of the Mini-convention on Families panel on Clinical Issues in Families and Health.     

Syntactic complexity and elaborative processing

Memory for sentences as a function of the syntactic complexity of the sentences was examined. Sentence complexity was varied through a manipulation that involved presenting sentences in either self-embedded forms or more standard forms. Subjects performed an incidental semantic orienting task on a set of sentences varying in complexity and were subsequently tested for their recognition memory of the sentences. In Experiment 1, subjects were tested for their memory of both surface characteristics and meaning of the sentences. There were no differences caused by sentence complexity for memory for meaning. Memory for surface structure, however, was a function of sentence complexity such that there was better memory for the more complex sentences. Experiment 2 replicated the finding that the more complex sentences produced better recognition memory for surface structure. The results are interpreted within a framework that suggests that increased syntactic complexity produces more elaboration, which in turn produces better memory.     

The use of a consultation team to network families with other helping systems

Families, therapists, and other service providers often find themselves uncooperative and at cross purposes when working toward solutions to family problems. Sometimes each professional is involved in one small piece of the problem and may never have encountered other providers and all family members. This paper describes a family-agencies-team consultation model intended to address the above issues. The model uses a consultation team to facilitate better understanding of family needs, helping agency roles, and service provider constraints. The approach has been successful in creating dialogue, generating a wide range of goals, engendering cooperation, empowering families, and affirming agency participation.In addition to the authors, the consultation team included staff members at the Pitt County Mental Health Center working with client families and other agencies in Pitt County, North Carolina.     

Family therapy in primary health care: Skills training and outcome evaluation

Some of the theoretical tenets of family therapy such as emphasis on the activation and utilization of existing family resources and the importance it accords to context appear to have a good fit with primary health care's commitment to empowering individuals in their struggle against ill health and the circumstances in which it occurs. This paper explores the possibility of teaching a problem-solving approach to family therapy to nurses in a South African primary health care system. Training consisted of conceptual, pragmatic, and self-growth exercises, and trainees' conceptual and performance skills were compared to the skills of a group of untrained nurses.We thank Bukelwa Selema, co-trainer on the program, for her contributions to joining effectively with the nurses and enriching the experiential process. We also thank Dr. P.J. Beukes, Dr. J.H. Olivier, Dr. G.M. Louw, Matron L.C. Langley and other staff in the Soweto primary health care system for their support. In particular, we are grateful to nursing sisters Martha Nkoane and Millicent Matomela, who roleplayed clients on the videotaped training modules. We are also grateful to Edcent Williams, who was one of the videotape raters, and Mike Spruce, Ricky Snyders, Nico Cloete, Ricky Mauer, and Brenda Radebe for their inputs at various stages of designing and implementing the programme.     

Experienced closeness and distance among family members

This study looks at experienced emotional closeness among family members using a projective measure, the Family Paper Sculpture. Results support the hypothesis that, in a non-clinical population, experiences of extreme closeness and extreme distance may be different manifestations of the same underlying process. Some support is found for the hypothesis that families in which relationships are experienced as very close or very distant at one point in time may experience those same relationships as extreme in the opposite direction at another point in time. Global coding of taped family interactions supports the hypothesis that extremes of experienced closeness are associated with more conflict, less ability to resolve differences, and less warmth and support among family members. It is suggested that the experience of being very close, varying through time with the experience of being very distant, may be associated with disappointed attempts to achieve closeness with autonomy.worked on this research while a graduate student in psychology at the University of Houston-Clear Lake.David C. Bell, PhD, completed work on this report while at Texas A & M University. He is presently working on a book about connection and dependency.The studies reported here were supported by grants from the National Institute for Mental Health and the Hogg Foundation for Mental Health. The authors would like to thank David Gutterman, Sheila Jones, Judy Nunn, and Theresa Rourke for coding the global scales.