住院医师规范化培训中辩证思维能力的培养

精湛的临床思维能力和良好的辩证思维能力是住院医师岗位胜任能力的根本要求。如何切实提升住院医师的辩证思维意识和思维习惯是现阶段住院医师规范化培训中一个亟待解决的现实难题。阐述了培养住院医师辩证思维能力的必要性和重要性,重点分析了住院医师规范化培训中应着力掌握的几种思维素养和能力。在规范化培训阶段,应以提升住院医师的辩证思维素养、强化辩证思维意识和思维习惯的养成教育、注重临床诊治实践能力的培养等为着力点培养住院医师辩证思维能力。     

远程医疗活动中的数据使用伦理问题研究

通过对远程医疗数据在国内外的发展保护历程进行研究,并对远程医疗的相关法律法规与管理办法进行梳理,从远程医疗发展中所遭遇的数据权利、数据商品化、数据鸿沟等问题入手,阐述当今国内外远程医疗行业的发展现状,所面临的立法不明确、技术失控、主体意识下降等问题,并对远程医疗本身及其信息化载体进行分类研究,思考远程医疗发展过程中与医学伦理等方面相悖之处及其产生原因,在获得原因的基础上探索强化责任、呼唤德性等解决办法,并在结合本国实际情况的基础上,结合伦理学理论提出一些发展建议。     

亚当·斯密美德思想对医务人员德性培养的启示

市场经济下人们对私利的追逐必须要有道德约束,如何帮助医学界走出道德困境是必须直面的理论和现实问题。基于亚当•斯密的美德思想,探讨德性伦理在医务人员德性培养中的重要性。通过审慎、正义、仁慈和克己这四种个人具备的美德,将其与医务人员品行培养实际联系起来,得出在市场经济背景下美德思想对医务人员德性培养的启示,即用审慎之美德提升自身业务能力、用正义之美德维护患者健康利益、用仁慈之美德增进患者幸福感以及用克己之美德学会自我管理等,旨在为医务人员的德性培养提供智识支持以促进医患关系和谐发展。

     

从案例思考我国辅助生殖技术的行为准则与伦理规范

随着辅助生殖技术的迅速发展,面临的问题和挑战越来越多,也越来越复杂,这给临床工作带来一定的困扰,为完善我国辅助生殖技术研究与应用的行为准则和伦理规范,建议辅助生殖技术的行为准则与伦理规范要在遵循国际通用准则的前提下,根据我国的国情,认真听取民众诉求和意愿以及辅助生殖技术工作者的建议,修改、完善和制定相关规范,使辅助生殖技术的研究和应用更好地服务于人民和社会,以满足人民大众的生殖健康需求,促进我国辅助生殖技术事业的健康发展。     

智力与心理速度的关系研究述评

目前在智力研究领域出现了一种新的研究趋势,研究者开始关注心理计量学智力与认知或生理心理学变量的相关,考察的重点是心理速度,相应的测量指标主要有检测时（IT）、反应时、ERP或神经传导速度,等等。在运用IT任务进行的ERP研究中发现,ERP波幅和潜伏期的不同往往能够反映出智力上的差异。信息加工速度和神经传导速度均与一般智力因素（g因素）存在较高的相关。上述研究发现促进了智力与心理速度关系的跨学科研究,成为智力研究领域中的热点     

敦煌道士王圆篆评传

王圆篆是一个普通的道士,但由于他发现了震惊中外的敦煌莫高窟藏经洞,并且被牵连进藏经洞经卷大量流散的事件中,因此成为撰写西北道教历史时一个不能回避的人物.现通过对近些年发表的文献资料的归纳,对其生平与功过作一番陈述,以就教于方家.     

螺旋CT双期增强薄层扫描对小胰腺癌诊断的研究

为了研究螺旋CT胰腺期、肝脏期双期增强薄层扫描在小胰腺癌早期诊断中的作用,对25例小胰腺癌患者行螺旋CT双期增强扫描,结果显示,两组观察结果经统计学处理有显著性差异,螺旋CT动态增强薄层2mm扫描比5mm扫描可明显提高小胰腺癌和微胰腺癌的检出率,对小胰腺癌的早期诊断有重要的临床价值.肝脏期扫描为临床确定肿瘤是否能够手术切除提供科学依据.     

金融危机引发关于亚洲发展模式的争论

从去年７月开始的亚洲金融危机，不仅导致亚洲各国及整个地区经济发展严重受挫，而且也在全球范围内引发了新一轮关于“亚洲发展模式”及“亚洲价值观”的思想争论。这场争论主要涉及以下几个方面的问题。一、对于亚洲金融危机爆发原因的分析一段时间以来，围绕亚洲金融危...     

Assessing Parental Readiness to Change: A Psychometric Evaluation of the READI-SF in a Community Sample

Engagement in behavioral parent training programs continues to be a barrier to service delivery. Parental readiness is an important construct for understanding parental engagement in parent training services, as these programs place a high level of action-oriented demands on caregivers. The present study examines the performance of one parental readiness measure, the Readiness, Efficacy, Attributions, Defensiveness, and Importance Scale—Short Form (READI-SF) in a community-based sample. Participants included 103 families of children ages three to seven recruited from an urban charter school. Mothers completed an abbreviated version of the READI as well as indices of child disruptive behavior and a second measure of parental readiness. The psychometric properties and factor structure of the READI-SF are explored as well as indices of reliability and validity. Exploratory factor analysis revealed a three-factor model of readiness to change, treatment readiness, and perceived importance of the problem. Analyses also supported the validity and clinical utility of the measure, as READI-SF scores were found to predict attendance at a one-time parenting group. Lastly, the study examines the relationship between parental readiness and child disruptive behavior. Limitations and future directions are discussed.     

Exploring the Factor Structure of the RTI Readiness and Implementation Survey

Response to intervention (RtI) models have increasingly been adopted to improve outcomes for all students through the delivery of a continuum of supports and making timely responsive instructional decisions based on data. With this increasing popularity, researchers and practitioners have developed several RtI-related assessments, many of which have no known psychometric properties. As a result, there is an urgent need to develop psychometrically sound RtI readiness and implementation assessments that possess technical adequacy and practical utility. This study surveyed 377 participants to examine the factor structure of the author-developed RtI survey. An exploratory factor analysis identified seven relevant factors (system support, belief, conceptual knowledge, practical knowledge, resource, time, and system barrier) from the initial pool of 49 items. Results of reliability estimates supported the internal consistency of each subscale. Collectively, this validated RtI survey can be used to help district and school leaders efficiently screen a system's current RtI readiness and implementation status. The data may also inform successful RtI initiation and sustainment of the reform. Limitations and future directions for research are discussed.