新加坡医疗体制及公立医院改革的深层逻辑

分析了新加坡医疗体制的现状;新加坡医疗体制与公立医院改革包括从社会安全网和国家福利哲学的整体角度建设医疗保障与监督体系;系统化思考和实施公立医院的内外部改革;通过动态治理和彻底执行以满足环境变化和国民需求;提升医生群体的地位;合理分流病人.这种思考逻辑、实施路径为中国医改提供借鉴.     

“增益”还是“损耗”?挑战性工作要求对工作-家庭增益的“双刃剑”影响

基于资源保存理论和不确定管理理论, 采用日记研究法收集81个样本10个工作日的数据, 从静态和动态两个视角, 通过明晰挑战性工作要求的不同属性(每日水平、平均水平、日间变动、波动变化), 全面检验了挑战性工作要求对工作-家庭增益的影响。研究结果表明：(1)在静态模型中, 挑战性工作要求通过工作专注度(增益路径)和放松(损耗路径)作用于工作-家庭增益, 且在个体间的平均水平模型中, 放松的中介作用更为显著; (2)在动态模型中, 挑战性工作要求的日间变动和波动变化, 均通过减少员工工作专注度和放松, 进而降低工作-家庭增益。最后, 本研究讨论了管理者应重视挑战性工作要求的双刃剑作用等实践启示。     

Boghossian’s Inference Argument against Content Externalism Reversed*

I deal here with one of Boghossian’s arguments against content externalism, related to our inferential rationality (to use his term). According to his reasoning, the apriority of our logical abilities is inconsistent with certain externalist assumptions. Nevertheless, the problem constitutes an important challenge for any theory of content, not just for externalism. Furthermore, when we examine what internalists may propose to solve the problem, we see that externalists have at their disposal a more promising repertoire of possible replies than internalists. In that sense, insofar as Boghossian’s scenario is relevant to the debate externalism/internalism, it can be seen (against Boghossian’s original intention) as providing additional evidence for content externalism.     

Effect of age on forward and backward digit spans

Abstract

A number of studies has suggested that aging is characterized by a decline in the central executive while the automatic processes (in particular operations by the phonological loop) remain intact. According to interpretation, age differences should be minimal in verbal forward digit span while they should be more important in backward verbal digit span. A sample of 1,000 subjects with ages ranging from 16 years to 79 years was used to test this hypothesis. the results show no significant effect of age on the difference between digit span forward and backward. the theoretical implications of these results are discussed.     

Hidden feelings 1945-95

Abstract

It was a fact learnt early in life: wherever I travelled in Europe as a teenager, it paid me to explain that I was Dutch, not German. And when I left home at 18, in search of the elusive key to good faith and freedom, and came to Britain, crossing the Channel to reach the sole part of Europe untouched by enemy invasion, I felt I was welcomed like a lost daughter; many people told me of the part they played in the liberation of Holland in 1945. And now, fifty years after the historic events of the Second World War have passed, I still like to invoke the ‘magic’ if I can. While staying in a bed and breakfast in Coventry recently, I pointed out to the landlady that a morning call, as written down by the German guest, was requested at 7.15, instead of, as she had read, at 9.15. ‘Oh’, she said, annoyed, realizing the mistake: ‘Do they cross their number seven? We never do’. I was instantly eager to clear my name: ‘The Dutch never do so either’     

工作团队领导心理资本对成员组织公民行为的影响机制：多层次模型

本研究采用问卷调查法, 以某国有企业在10个地市的66个工作团队369名企业员工为调查对象, 在控制被试的教育程度、工作经验及人口统计学变量之后, 运用多层线性模型技术分析团队领导心理资本与团队成员心理资本及其组织公民行为的关系。结果发现：(1)工作团队领导心理资本对团队成员组织公民行为存在积极影响, 团队成员心理资本是领导心理资本与团队成员组织公民行为之间跨层次的中介变量; (2)工作团队领导心理资本对团队成员心理资本与组织公民行为关系的调节效应不显著。     

肿瘤姑息治疗的全程介入

恶性肿瘤严重威胁人类健康,肿瘤本身以及针对肿瘤的治疗不仅会对患者的生理和心理产生重要影响,同时也会对照顾患者的家人产生各种心理影响。现有医疗条件下短时间内难以提高治愈率,就应更加注重将姑息治疗贯穿于肿瘤治疗的始终,不仅要及早介入,甚至延伸至居丧期。在肿瘤治疗过程中不断对肿瘤患者进行评估和适时调整姑息治疗策略,可有效地提高患者生活质量同时降低医疗成本,最终患者能够在不同阶段和各种治疗手段中获得最大受益。     

Health Related Quality of Life in Children with Congenital Heart Disease

Health-related quality of life in children with congenital heart disease (CHD) was compared to that of healthy children. Furthermore, agreement between child and parent reports was examined. In addition, differences in quality of life related to the severity of CHD were evaluated. One hundred children with CHD aged between 8-18 years and their parents answered a health-related quality of life-questionnaire during their visit to the paediatric cardiology outpatient department. CHD children reported reduced motor functioning and autonomy compared to healthy children. Parents of children with CHD reported their children to have a reduced quality of life in the domains of: motor functioning, autonomy and cognitive functioning. Agreement between child and parent reports was moderate. Children systematically reported lower health related quality of life on the domain of positive emotions than did parents. Health related quality of life in children with CHD appeared not to be influenced by severity of the disease. In conclusion, regardless of the severity of the disease, children with CHD reported their health related quality of life on several domains to be lower than that of healthy children. This means that on several domains, the emotional impact of problems in health status is greater for children with CHD than for healthy children. When CHD patients visit the clinic, it is important that physicians actively ask patients as well as parents about the child's motor functioning, autonomy and cognitive functioning. Children with problems in these domains can then be identified, and psychological interventions can take place at an early stage.     

Vagueness: A Conceptual Spaces Approach

The conceptual spaces approach has recently emerged as a novel account of concepts. Its guiding idea is that concepts can be represented geometrically, by means of metrical spaces. While it is generally recognized that many of our concepts are vague, the question of how to model vagueness in the conceptual spaces approach has not been addressed so far, even though the answer is far from straightforward. The present paper aims to fill this lacuna.