新型农村合作医疗制度进一步发展的瓶颈分析

提出制约新农合制度发展的瓶颈有：筹资方式及筹资成本问题、筹资水平、补偿内容的设计问题、过多照搬了城镇职工基本医疗保险的资金管理方式、管理能力与管理手段、位于卫生局内的合管办、无法实现“解决因病致贫、因病返贫”的政策目标。     

Social media addiction and psychological adjustment: religiosity and spirituality in the age of social media

Previous research indicates a significant association between social media use and psychological adjustment. The present study investigated whether religiosity/spirituality mediates the relationship between social media intrusion and psychological adjustment. Participants completed a demographic questionnaire, Religious Commitment Inventory-10, Spirituality Index of Well-Being, the DASS-21 Scales, and the Facebook Intrusion Questionnaire, which was altered slightly to include all types of social media. Results revealed that social media intrusion was significantly positively associated with depression, anxiety, and stress, and negatively correlated with spiritual well-being and the self-efficacy component of spiritual well-being. Furthermore, the self-efficacy dimension of spiritual well-being partially mediated the association between social media intrusion and psychological stress. From these results, it may be inferred that higher social media intrusion may have the ability to decrease specific aspects of spirituality, which may, in turn, negatively impact psychological adjustment. Limitations and future directions are discussed.     

Drugs,Sex, and Condoms: Identification and Interpretation of Race‐Specific Cultural Messages Influencing Black Gay and Bisexual Young Men Living with HIV

Black gay and bisexual young men carry a disproportionate burden of HIV in the United States. This study explored Black gay and bisexual young men living with HIV's identification and interpretation of race‐specific cultural messages regarding substance use, sexual activity, and condom use. A total of 36 Black gay and bisexual young men living with HIV (ages 16–24, mean = 20.6 years) from four geographically diverse regions of the United States participated in qualitative in‐depth interviews. Results from this study elucidate the ways in which these young men interpret various forms of race‐specific cultural messages and experiences regarding substance use, sexual activity, and condom use. Participants discussed cultural messages and experiences promoting and discouraging condoms and substance use. Regarding sexual activity, only messages and experiences promoting sex were reported. Across all three categories, messages and experiences promoting risk were predominant. Data further revealed that socially transmitted cultural messages received by young men emanated from multiple sources, such as family, peers, sexual partners, community/neighborhood, and the broader society. Race‐specific cultural messages and experiences should be addressed in interventions for this population, and programs should assist young men in developing a critical consciousness regarding these messages and experiences in order to promote health and well‐being.     

我们需要什么样的行业组织——以英国医疗辩护联盟为借鉴

医疗辩护联盟成功扮演着作为行业组织的中介角色、管理者和服务者角色。我国应以医疗辩护联盟为摹写蓝本,重新定位和构建医疗行业组织。     

胸腺功能的发现及其对免疫学发展的影响

19世纪60年代初,免疫系统的发现使免疫学的发展方向发生了革命性转变。在这场转变的过程中,胸腺功能的发现起到了重要的作用。详述了胸腺功能的发现过程,并进一步深入到免疫学思想史,讨论了这个发现如何影响了免疫学的历史进程。     

全球流感大流行与共建和谐社会

科学家预测:新一轮流感大流行不可避免。通过总结历史教训,分析目前可能引起流感大流行的原因,展开预防流感大流行与共建和谐社会关系的讨论。     

终末期癌症病人诊治中的心理特征与人文关怀

在诊治终末期癌症病人过程中不仅要关心他们的躯体方面,更要关心他们的心理方面,在诊治过程中要根据他们的独特的心理特征来进行人文心理关怀,维持生命质量和保证他们应有的人格尊严.     

非形式逻辑与演绎主义

非形式逻辑出现于上个世纪70年代,它首先是一种寻求更好的大学逻辑教学方式的努力。进而,非形式逻辑学者们逐渐开始触及和探讨越来越多的理论议题,即发展不依赖于形式逻辑的关于论证以及好论证的理解方式。在1998年世界哲学大会上,布莱尔和我阐释了非形式逻辑为哲学所带来的理论后果,其中一点我们称之为“演绎主义的终结”。那时我们并未给出演绎主义的定义,而只是把它等同于麦金泰尔的那个精炼的说法：“任何推理,不是演绎的,就是有缺陷的。”但现在看来,我们在当时就作出“演绎主义的终结”这一论断,显然是有点为时过早了。因为演绎主义似乎至今都还很有生命力,甚至在那些倾向于非形式逻辑的学者那里它也能得到支持：恩尼斯长期以来都辩护演绎主义是一种论证重构策略,格罗尔克更是致力于辩护它是一种论证评价理论。在本文中我将论证,非形式逻辑最好被理解为一种不诉诸于演绎技巧和演绎规范的逻辑研究。当我们意识到演绎和演绎主义已经如何深深地扎根于我们的哲学发展史中,并且牢牢地控制了我们关于逻辑研究的理解,我们就能明白非形式逻辑这一理论努力是多么的困难和重要。我将首先澄清“演绎主义”的意思,然后再分别考察那些赞成和反对演绎主义的论证,最后,我将表明非形式逻辑是从演绎主义中挽救逻辑的理论尝试。