选择最佳证据加强多学科协作

循证医学给医学带来了一次变革,极大地促进了医学的发展,使医生在对患者的诊治过程中有证可循,大大提高了临床诊治的准确性,也使各种诊治方法趋于规范化.循证医学首先强调的是应用当前所能获得的最好的研究证据,那么什么是最好的研究证据?如何获得最好的研究证据?又如何通过运用循证医学使患者得到最佳的治疗效果呢?本期"临床决策研究"栏目中陈懿等撰写的文章"循证医学与实事求是"对此进行了深入的探讨和评论.     

五岳同祈 祝福中华——道教界隆重举行庆祝新中国60华诞系列文化活动

为了表达道教界对新中国60华诞的热烈庆贺和虔诚祝福,进一步发扬道教“爱国爱教、团结进步”的优良传统,展现道教“护国佑民、济世利人”的真诚情怀,发挥道教在构建和谐社会和促进经济社会发展中的积极作用,在国家宗教局的大力支持下,由中国道教协会主办,     

The Learning Sciences in a New Era of U.S. Nationalism

What responsibilities do researchers of learning have in the wake of Trump's election and the proliferation of far-right, populist nationalism across the globe? In this essay, we seek to prompt and engage a dialogue about the political role and responsibilities of our field at this historical moment. First, we situate the social hierarchies that were most pronounced during this election within a longer history of U.S. policies and practices. We then examine the ostensible division between research on learning and the political contexts and consequences of learning. We argue for the need to address this false chasm and build on scholarship that has demonstrated the inextricable links among learning, power, and politics. We conclude by exploring how research on learning might more meaningfully engage with the political dimensions of learning through teaching, engaged research, publishing, professional forums, and service.     

Homeless Adults’ Recovery Experiences in Housing First and Traditional Services Programs in Seven European Countries

Across Europe, as governments turn to housing-led strategies in attempts to reverse rising rates of homelessness, increasing numbers of Housing First (HF) programs are being implemented. As HF programs become more widespread, it is important to understand how service users experience them compared to the more prevalent traditional treatment-first approach to addressing long-term homelessness. Although there is a large body of research on service users’ experiences of Housing First compared to treatment-first in North American contexts, comparatively less is known about how these two categories of homeless services are experienced in the European context. In a correlational and cross-sectional study, part of a larger examination of homelessness in Europe, participants (n = 520) engaged with either HF (n = 245) or traditional services (TS; n = 275) programs in seven countries completed measures of their experiences of services (consumer choice, housing quality, and service satisfaction) and recovery (time in independent housing, psychiatric symptoms, and community integration). Across the seven countries, participants engaged with HF programs reported experiencing more consumer choice, better perceived housing quality, and more satisfaction with services than participants engaged in TS programs. Participants in HF programs also reported a greater proportion of time in independent accommodation, fewer psychiatric symptoms, and more community integration. Varying patterns of association between experiences of services and recovery outcomes were observed. Findings indicate HF consistently predicts greater recovery than TS across diverse sociopolitical and economic contexts. Implications of findings for configurations of homeless services and homeless services policy are discussed.     

The Mission of the Church in the Contemporary World in Light of the Decisions of the Holy and Great Council

This article discusses the place of mission in the Orthodox Church. The document “The Mission of the Orthodox Church in Today's World,” which was approved by the Holy and Great Council of the Orthodox Church held in Crete in 2016, is still in the process of reception, as are the other documents, but it constitutes, without doubt, a new era in Orthodox missiology – as indeed the Great and Holy Council in Crete represents a new era in Orthodoxy. The interrelatedness of unity and mission is not a question of methodology or strategy. It is an ontological one: it is related to the very essence of koinonia as fellowship in the triune God, and to the specific aspect of κοινονια as participation in God's economy in and for the world. Mission is commitment to the work of the triune God incarnated in Jesus Christ. Both are God’s gift and command. It is only in unity with the Holy Trinity that the church is able to fulfil its vocation.     

Culture, emotion regulation, and adjustment

This article reports differences across 23 countries on 2 processes of emotion regulation--reappraisal and suppression. Cultural dimensions were correlated with country means on both and the relationship between them. Cultures that emphasized the maintenance of social order--that is, those that were long-term oriented and valued embeddedness and hierarchy--tended to have higher scores on suppression, and reappraisal and suppression tended to be positively correlated. In contrast, cultures that minimized the maintenance of social order and valued individual Affective Autonomy and Egalitarianism tended to have lower scores on Suppression, and Reappraisal and Suppression tended to be negatively correlated. Moreover, country-level emotion regulation was significantly correlated with country-level indices of both positive and negative adjustment.     

进展期胃癌术后生存质量影响因素探讨

胃癌是我国发病率和病死率较高的恶性肿瘤,且住院病例90％以上为中晚期。因此预后不佳。近年来在进展期胃癌诊断和治疗方面有较大进展,尤其是人们对术后生存质量的重视。本文初步探讨了进展期胃癌术后生存质量的影响因素：如患者一般状况、手术方式、术后辅助放化疗和中医药治疗等。     

中医学防治亚健康的机制与方法研究

随着传统医学模式的转变,亚健康状态的研究已经成为当今医学的热点。但由于其系统研究的不足,亚健康状态产生与治疗机制尚未明确,在亚健康的治疗上仍然存在许多困难和未知。总结了中医学对亚健康状态的防治机制,提出了亚健康状态的治疗原则和防治方法。