第三方医学检验机构法律问题研究——从两个典型判例的实证研究切入

第三方医学检验机构主要从美国兴起,我国的第三方医学检验机构随着医疗改革的深入也在迅猛发展。但是比起医疗机构附设的医学检验部门,第三方医学检验机构是独立的法人主体,因此与患者和医疗机构之间形成多元法律关系。通过整理涉医学检验机构诉讼纠纷发现,法律实践中主要存在两类典型的法律问题：一类是法理或法律可以予以解决的问题,但解决的结果无法达到案结事了或者公平公正,这类问题源于实践超出理论的复杂性;另一类是落入法律或法理的“间隙”,在理论上存疑的问题。诉诸法律来解决的这些问题虽然还未能成为第三方医学检验机构发展的重要风险,但是所展现出来的问题都具有相当的典型性和代表性。

     

叙事医学在日本医疗纠纷调解中的应用及启示

探讨叙事医学理论在日本医疗纠纷调解制度中的应用特点以及对我国的启示。日本医疗纠纷调解制度以叙事医学为理论基础, 不同于我国现阶段运用准法律性手段来进行医疗纠纷调解的思路。建议我国在医疗纠纷调解中, 建立和加强以叙事医学为支撑的前期调解工作, 让医生树立起与患者对话的本身就是治疗过程中不可分割的一部分, 医疗纠纷调解就是让患方接受突如奇来的严酷现实的过程, 医疗纠纷调解的目的不是"息诉罢访", 而是良好医患关系的修复。     

记忆的自我参照效应

自我参照效应(self-reference effect)指的是记忆材料与自我相联系时的记忆效果显著优于其他编码条件。自我对记忆的促进作用,存在多种理论解释,最主要的有:精细加工说,组织加工说以及双过程说。自我参照效应的研究为应用脑功能成像技术对自我进行脑定位提供了一个新的视角,为情节记忆的HERA模型提供了有力的证据。目前,自我参照效应的研究同文化差异研究相结合,成为一个新的研究趋势。     

音乐的神经美学：从审美反应到神经基础

近年来, 随着音乐的神经科学与神经美学的发展, 逐渐形成一个新的研究领域, 即音乐的神经美学。这一研究领域关注音乐审美的心理过程和神经机制, 将注意力集中于音乐审美活动中的感知、认知和情感解释。音乐审美加工引起了相应的审美反应, 其中有三种音乐审美反应得到研究者更多的关注, 即音乐审美情绪、判断与偏好。研究者围绕这三种反应, 对音乐审美反应的知觉、认知、情绪加工和影响因素以及其神经机制展开研究。这些研究为我们理解音乐和美学的行为与神经机制提供了经验性证据。     

错误再认:意识、注意和刺激特性

该研究基于错误再认现象,确立了意识知觉和无意识知觉在行为结果上的质的差异。在决定一个刺激是被有意识知觉还是无意识知觉时,刺激特性和注意之间存在着相互补偿的作用。实验一表明,当一个刺激短暂呈现而被无意识知觉的时候,增强刺激特性或提高注意水平都能使它的知觉变为有意识的;相对应地,实验二表明,一个处于分散注意条件下被无意识知觉的刺激,也可以通过使注意集中或增强刺激特性而使它的知觉变为有意识的。该研究对意识、注意和刺激特性三者间的关系进行了讨论。     

When the poor excel: Poverty facilitates procedural learning

Recent research has shown that poverty directly impeded cognitive functions because the poor could be easily distracted by monetary concerns. We argue that this effect may be limited to functions relying on working memory. For functions that rely on proceduralized processes however, monetary concerns elicited by reminding of financial demands would be conducive rather than harmful. Our results supported this hypothesis by showing that participants with lower income reached the learning criterion of the information‐integration categorization task faster than their more affluent counterparts after reminding of financial demands.     

A monolingual mind can have two time lines: Exploring space-time mappings in Mandarin monolinguals

Can a mind accommodate two time lines? Miles, Tan, Noble, Lumsden and Macrae (Psychonomic Bulletin & Review 18, 598–604, 2011) shows that Mandarin-English bilinguals have both a horizontal space-time mapping consistent with linguistic conventions within English and a vertical representation of time commensurate with Mandarin. However, the present study, via two experiments, demonstrates that Mandarin monolinguals possess two mental time lines, i.e., one horizontal and one vertical line. This study concludes that a Mandarin speaker has two mental time lines not because he/she has acquired L2 English, but because there are both horizontal and vertical expressions in Mandarin spatiotemporal metaphors. Specifically, this study highlights the fact that a horizontal time line does exist in a Mandarin speaker’s cognition, even if he/she is a Mandarin monolingual instead of a ME bilingual. Taken together, the evidence in hand is far from sufficient to support Miles et al.’s (2011) conclusion that ME bilinguals’ horizontal concept of time is manipulated by English. Implications for theoretical issues concerning the language-thought relationship in general and the effect of bilingualism on cognition in particular are discussed.     

Prevalence of depressive symptoms and its correlates among medical students in China: a national survey in 33 universities

We conducted a national survey among medical students in China to estimate the prevalence of depressive symptoms and explore associated risk factors based on an established questionnaire composed of demographic information, life events in the past four weeks before survey, and the validated Chinese version of the 21-item Beck’s Depression Inventory (BDI). The mean age of enrolled 9010 students was 20.7 (standard deviation: 1.6) years. BDI scores indicated that 19.9% had depressive symptoms based on the cut-off score of 14. Socioeconomic factors and student characteristics such as male sex, low monthly income per capita, father’s poor education background, and higher year of study were associated with higher prevalence of depressive symptoms among medical students. Students who studied in comprehensive universities were more likely to have depressive symptoms compared with those from medical universities. Habitual smoking and alcohol drinking, sleep deprivation, and hospitalization or medication for one week or more in the last four weeks also predisposed students to higher risk of depressive symptoms. Our results indicate that depressive symptoms are becoming a highly prevalent health problem among Chinese medical students. Primary and secondary prevention should be prioritized to tackle this issue based on potential risk factors.     

Multidimensional assessment of empathic abilities in patients with insular glioma

Recent studies have provided evidence that there are two possible systems for empathy: affective empathy (AE) and cognitive empathy (CE). Neuroimaging paradigms have proven that the insular cortex is involved in empathy processing, particularly in AE. However, these observations do not provide causal evidence for the role of the insula in empathy. Although impairments in empathy have been described following insular damage in a few case studies, it is not clear whether insular cortex is involved in CE and whether these two systems are impaired independently or laterally in patients with insular gliomas. In this study, we assessed 17 patients with an insular glioma, 17 patients with a noninsular glioma, and 30 healthy controls using a method that combined a self-report empathy questionnaire with the emotion recognition task, assessment of empathy for others’ pain, and the emotional perspective-taking paradigm. We found that patients with an insular glioma had lower scores for empathic concern and perspective taking than did either healthy controls or lesion controls. The patients’ abilities to recognize facial emotions, perceive others’ pain, and understand the emotional perspectives of others were also significantly impaired. Furthermore, we did not observe a laterality effect on either AE or CE among those with insular lesions. These findings revealed that both AE and CE are impaired in patients with an insular glioma and that the insular cortex may be a central neuroanatomical structure in both the AE and CE systems.     

Religion and Spirituality among American Indian,South Asian,Black, Hispanic/Latina,and White Women in the Study on Stress,Spirituality, and Health

Social scientists have increasingly recognized the lack of diversity in survey research on American religion, resulting in a dearth of data on religion and spirituality (R/S) in understudied racial and ethnic groups. At the same time, epidemiological studies have increasingly diversified their racial and ethnic representation, but have collected few R/S measures to date. With a particular focus on American Indian and South Asian women (in addition to Blacks, Hispanic/Latinas, and white women), this study introduces a new effort among religion and epidemiology researchers, the Study on Stress, Spirituality, and Health. This multicohort study provides some of the first estimates of R/S beliefs and practices among American Indians and U.S. South Asians, and offers new insight into salient beliefs and practices of diverse racial/ethnic and religious communities.