原发灶切除在转移性乳腺癌治疗中的地位

无论是国内还是世界其他国家,乳腺癌近年来已成为女性常患恶性肿瘤之首。早期乳腺癌通过手术、化疗、放疗及内分泌治疗等综合治疗后可以达到长期生存。然而对于晚期乳腺癌,特别是伴有远处转移的乳腺癌,疗效却不尽如人意。对于转移性乳腺癌,目前治疗优先选择毒性尽可能小的全身系统性治疗方案;而对于需要缓解症状或避免即将发生并发症（如皮肤溃疡、出血、真菌感染以及疼痛等）的情况可于全身治疗后行相应手术。然而对于转移性乳腺癌是否手术切除原发灶以及是否可从手术中获益,仍然充满争议。     

What place does religion have in the ethical thinking of scientists and engineers?

Religion, defined as ‘the idea of a state that transcends ourselves and our world and the working out of the consequences of that idea’, may influence the ethical thinking of scientists and engineers in two ways. The first is at the level of the individual and how personal beliefs affect the choice of research, design or development projects, relationships with other researchers and the understandings of the consequences of research on other aspects of life. The second level is that of the social and cultural setting in which scientists and engineers work; how society decides which research to sponsor, how to apply the results of scientific discovery and which technology it chooses to develop and for what purposes. In neither of these areas is religious belief a necessary condition for scientists and engineers to pursue one course of action rather than another. The existence of religious belief within the individual and society is, though, part of the ethical framework in which scientist and engineers work and therefore something to which attention should be paid. Religion provides a particular perspective on what should be. Conversely science and technology provide information on the nature of the person and the universe in which we live, which must be taken into account when theologians and religious moralists apply their ethical norms and principles.     

非小细胞肺癌 EG FR 基因突变检测与临床意义

采用荧光PCR法对199例晚期非小细胞肺癌（NSCLC ）组织进行表皮生长因子受体（EGFR ）基因突变检测,分析EGFR基因突变的分布特征及其与临床病理特征的相关性。结果显示56例（28．1％）存在EGFR基因突变,其中27例（13．6％）为外显子19突变,25例（12．6％）为外显子21突变,2例为外显子18突变,1例外显子20突变,1例外显子18和20的共突变。另外,除广东及安徽省铜陵市外,辽宁地区NSCLC患者EGFR基因突变率及主要突变类型与其他地区相符,常见于外显子19、21突变,其中腺癌、不吸烟患者突变率更高,更适宜EGFR-TKI靶向治疗。     

Small is beautiful: In defense of the small-<Emphasis Type="Italic">N</Emphasis> design

The dominant paradigm for inference in psychology is a null-hypothesis significance testing one. Recently, the foundations of this paradigm have been shaken by several notable replication failures. One recommendation to remedy the replication crisis is to collect larger samples of participants. We argue that this recommendation misses a critical point, which is that increasing sample size will not remedy psychology’s lack of strong measurement, lack of strong theories and models, and lack of effective experimental control over error variance. In contrast, there is a long history of research in psychology employing small-N designs that treats the individual participant as the replication unit, which addresses each of these failings, and which produces results that are robust and readily replicated. We illustrate the properties of small-N and large-N designs using a simulated paradigm investigating the stage structure of response times. Our simulations highlight the high power and inferential validity of the small-N design, in contrast to the lower power and inferential indeterminacy of the large-N design. We argue that, if psychology is to be a mature quantitative science, then its primary theoretical aim should be to investigate systematic, functional relationships as they are manifested at the individual participant level and that, wherever possible, it should use methods that are optimized to identify relationships of this kind.     

Systems Factorial Technology provides new insights on the other-race effect

The other-race effect refers to the difficulty of discriminating between faces from ethnic and racial groups other than one’s own. This effect may be caused by a slow, feature-by-feature, analytic process, whereas the discrimination of own-race faces occurs faster and more holistically. However, this distinction has received inconsistent support. To provide a critical test, we employed Systems Factorial Technology (Townsend & Nozawa in Journal of Mathematical Psychology, 39, 321–359, 1995), which is a powerful tool for analyzing the organization of mental networks underlying perceptual processes. We compared Taiwanese participants’ face discriminations of both own-race (Taiwanese woman) and other-race (Caucasian woman) faces according to the faces’ nose-to-mouth separation and eye-to-eye separation. We found evidence for weak holistic processing (parallel processing) coupled with the strong analytic property of a self-terminating stopping rule for own-race faces, in contrast to strong analytic processing (serial self-terminating processing) for other-race faces, supporting the holistic/analytic hypothesis.     

Symmetry and its role in the crossmodal correspondence between shape and taste

Attention, Perception, & Psychophysics - Despite the rapid growth of research on the crossmodal correspondence between visually presented shapes and basic tastes (e.g., sweet, sour, bitter, and...     

卜弥格《医学的钥匙》探微

波兰籍传教士卜弥格（Michel Boym）是17世纪中医西传过程中的重要人物之一,其作品《医学的钥匙》引发了国内外学者的关注。旨在对这部著作的文章架构与基本内容作出分析并从中管窥卜弥格对中国医学身体知识的认识。其中,卜弥格个人的欧洲古典医学和哲学背景对中医知识的阐释发挥了相当大的作用。他对于中医知识体系内身体知识的解读可归结为三种类型：一是左右二分的身体;二是以圆为图式的身体;三是不断变化的身体。实际上,卜弥格的这三种身体观念是一套兼具中欧两种医学的特点,却又与二者都有差别的一种知识体系。