Documentation: The challenges facing Christian‐Muslim dialogue

During his visit to Cairo in early October 1995, Dr George Carey, Archbishop of Canterbury, gave a lecture at Al‐Azhar University, the oldest and one of the most prestigious Islamic universities. Given on 4 October, the lecture was widely reported in both the Egyptian and British press. Following is the full text of the lecture as delivered, reproduced by the kind permission of Dr Carey.     

Models of health and wholeness

A church-clinic model of the neighborhood health center, developed initially in a low-income area, has now been established over the past three years in middle- and upper-income areas. The church-clinics, called Wholistic Health Centers, are primary care medical clinics located in church buildings that utilize an interdisciplinary team in the planning for patient treatment and health education. The project integrates primary medical care with pastoral counseling services. Evaluation of the two clinics in middle-to-upper-income areas indicates that the patients are middle to upper class, well educated, and are not medically disenfranchised; their presenting problems are only slightly more often medical (58%) than psychosocial (42%).This work was conducted in part when Dr. Holinger was at the Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center, Chicago, Illinois.He is also the author ofWholistic Health.The authors gratefully acknowledge the assistance of the Rev. Granger E. Westberg, D.D., Clinical Professor, and Edward A. Lichter, Professor and Chairman, Department of Preventive Medicine and Community Health, University of Illinois at the Medical Center, Abraham Lincoln School of Medicine, Chicago, Illinois, in the preparation of this report.     

Prenatal Testing for Adult-Onset Conditions: the Position of the National Society of Genetic Counselors

Advances in genetic testing and the availability of such testing in pregnancy allows prospective parents to test their future child for adult-onset conditions. This ability raises several complex ethical issues. Prospective parents have reproductive rights to obtain information about their fetus. This information may or may not alter pregnancy management. These rights can be in conflict with the rights of the future individual, who will be denied the right to elect or decline testing. This paper highlights the complexity of these issues, details discussions that went into the National Society of Genetic Counselors (NSGC) Public Policy Task Force’s development of the Prenatal testing for Adult-Onset Conditions position statement adopted in November 2014, and cites relevant literature on this topic through December 2015. Issues addressed include parental rights and autonomy, rights of the future child, the right not to know, possible adverse effects on childhood and the need for genetic counseling. This paper will serve as a reference to genetic counselors and healthcare professionals when faced with this situation in clinical practice.     

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.     

Financial aspirations,financial success,and overall life satisfaction: who? and how?

Nickerson et al. (2003, Psychological Science 14, pp. 531–536) demonstrated in a longitudinal study that the negative relation between aspirations for financial success and subjective well-being found by other researchers was mitigated by high household income. The present study first refined the analysis in Nickerson et al. (2003) and then explored two additional issues: (a) who aspires to financial success? and (b) how is financial success achieved? Analysis indicated that individuals with strong financial aspirations are socially inclined, confident, ambitious, politically conservative, traditional, conventional, and relatively less able academically, but not psychologically distressed. Financial success is achieved via the job and, for women only, via marriage. Financial aspirations influence job income both by influencing choice of occupation and by influencing job income within occupation; however, achieving financial success depends on having the personal resources to do so. Women with strong financial aspirations tend to marry for money (or money-making potential) regardless of their work status; men with strong financial aspirations do not.     

循证医学发展对临床医学科研人员的启示

从临床医学科研工作的角度简要介绍了循证医学的发展情况,阐述了在循证医学发展对临床医学科研人员提出的新要求,即:具有良好的临床专业知识;具有良好的信息处理能力;具有良好的洞察力;具有终身教育观.并从选题范围的拓展、掌握资料的广泛、立项评价的健全、管理措施的更新等浅议了循证医学对临床医学科研人员的启示.