利益冲突的调节机制

利益的平衡取决于相关利益群体参与政策过程的能力的平衡.成立患者权利保护协会,使患者以组织化方式有效参与卫生改革的政策过程,制衡相关利益群体的利益最大化诉求,是平衡卫生服务领域利益冲突的根本途径.     

现代胸腔镜外科实践中的科学思维

现代胸腔镜外科的出现开创了胸外科的新纪元,大大推动了现代胸外科的发展.但现代胸腔镜外科的出现毕竟是一个新鲜事物,主动运用科学的思维方法有助于我们更好地掌握这门先进技术,更充分发挥它的作用.结合自己在现代胸腔镜外科实践中的体会,阐述自觉掌握、运用科学思维方法的重大意义.     

微创技术在脑血管病诊治中的应用与存在的问题

脑血管病是危害人类健康的三大疾病之一.随着CT、,MRI、DSA等先进设备的应用,脑血管病的诊治水平进入一个新的阶段.显微手术、血管内栓塞、γ-刀或X-刀等很多微创技术不断应用于脑血管病的治疗.由于各地区发展不平衡,微创技术的应用尚存在不少问题.因此,必须积极稳妥地开展脑血管病诊治中的微创技术.     

法制环境下的现代医学--一个必须面对的新问题

法制社会强调医疗行为的合法性.强调现代医学的法制环境主要目的是规范医疗行为,合法行医,和谐医患关系和防止医学科学技术的异化造成伦理和社会危机.法制医学对医务人员的责任要求包括:强制责任(救治责任)、民事责任、刑事责任、诉讼的举证责任和医疗免责条件.     

现代医学人文回归的学术性与现实性

以生物-心理-社会医学模式为背景,以哲学和生态审美理论为起点,提出了"医学人文精神"、"医学人文关怀"等概念,在此基础上,分析了医学人文回归的内容及其与医学审美之间的内在联系.从学术性和现实性两个层面,针对我国存在的医学人文缺失的现状,分析了以"三观"(生命观、健康的可持续发展观、科学观)为基础的人文信仰的内容、功能与意义,以及如何从内容与形式辩证统一的审美视角出发,运用美的规律去改善、丰富和提升医学人文关怀的境界.     

规范美容医学临床技术--略谈《临床技术操作规范·美容医学》分册的编写体会

从现代医学模式转变出发,探讨了<临床技术操作规范·美容医学>分册的编写体会,阐明了该<规范>分册的指导思想、基本原则,介绍了美容医学临床技术实施效果评价的主要内容和要求.     

诊断脑死亡的伦理思考

随着医学的进步和社会的发展,死亡的定义、诊断标准和医生道德责任有了新的内容,脑死亡就是生命终结已为医学界普遍接受.诊断脑死亡是非常专业的技术性工作,有权进行脑死亡诊断的医疗单位和医生必须达到相应的资质要求.确诊和宣布脑死亡应遵循的伦理准则包含多方面的内容,如家属应有死亡标准选择权、脑死亡的诊断程序、脑死亡诊断结果的宣布和生效等方面的问题.     

Parenting Styles in a Cultural Context: Observations of "Protective Parenting" in First-Generation Latinos

Current literature presents four primary parenting styles: authoritative, authoritarian, permissive, and neglectful. These styles provide an important shortcut for a constellation of parenting behaviors that have been characterized as consisting of warmth, demandingness, and autonomy granting. Empirically, only warmth and demandingness are typically measured. Research reporting on parenting styles in Latino samples has been equivocal leading to questions about conceptualization and measurement of parenting styles in this ethnic/cultural group. This lack of consensus may result from the chasm between concepts (e.g., authoritarian parenting) and observable parenting behaviors (e.g., warmth) in this ethnic group. The present research aimed to examine parenting styles and dimensions in a sample of Latino parents using the two usual dimensions (warmth, demandingness) and adding autonomy granting. Traditional parenting styles categories were examined, as well as additional categorizations that resulted from adding autonomy granting. Fifty first-generation Latino parents and their child (aged 4–9) participated. Parent–child interactions were coded with the Parenting Style Observation Rating Scale (P-SOS). In this sample, the four traditional parenting categories did not capture Latino families well. The combination of characteristics resulted in eight possible parenting styles. Our data showed the majority (61%) of Latino parents as "protective parents." Further, while mothers and fathers were similar in their parenting styles, expectations were different for male and female children. The additional dimensions and implications are discussed. The importance of considering the cultural context in understanding parenting in Latino families is emphasized, along with directions for future research.     

Integrating Sex and Couples Therapy: A Multifaceted Case History

Traditionally, sexuality has not been a focus in couples therapy training, research, or practice, although it is an important, often complex issue for many couples. This article tells the story of a couple presenting for sex therapy due to their unconsummated marriage, and is told to exemplify how sex therapy and couples therapy can be integrated in order to best meet the needs of couples. As the story unfolds, the multilayered facets of the presenting issue are revealed. The therapy incorporates and weaves together family of origin history, intrapsychic and cognitive issues, relational dynamics, patterns of interaction, and physiological/medical concerns into a postmodern couples therapy with behavioral interventions. This combined approach recognizes the value of each method on its own and their greater usefulness when blended together.     

缺血性脑血管病患者的记忆障碍与脑脊液(CSF)中三种神经肽关系的研究

本实验对9例缺血性脑血管病(ICVD)患者及9例正常健康对照者及对照者进行了临床记忆量表检查,并测定了患者及对照者的脑脊液(CSF)中P物质(SP)、血管活性肠肽(VIF)及生长抑素(SS)含量。结果:(1)ICVD患者的记忆总分及记忆商(MQ)均显著低于正常健康对照组及对照组;分项测试中亦有降低趋势,且其中联想学习成绩的降低达显著性。(2)ICVD患者CSFSS含量显著低于对照组。(3)ICVD患者CSFSS含量与其MQ是显著正相关。本结果提示ICVD患者有不同程度的记忆障碍,测定CSFSS对患者记忆状况的判断有一定的参考价值。