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11.
透视医疗纠纷——辨析医患双方的权利和义务 总被引：1，自引：0，他引：1
樊民胜 《医学与哲学(人文社会医学版)》1999,(5)
发生医疗纠纷的一个重要原因是医患双方各自站在自己的立场上,维护自己的权利而产生的争端。由于我国卫生法制的滞后,患者被作为消费者伸张权利逐步成为趋势。但我国的医疗卫生事业的性质决定患者不能与消费者等同。医患双方应在更好的游戏规则下协调关系,减少纠纷。 相似文献
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AbstractThis study adopted a process-oriented approach to explore the mediating and moderating mechanisms surrounding the association between surface acting at work and sleep quality. Drawing on the stressor-detachment and transactional stress models, the current study proposed a moderated mediation model to examine whether surface acting would be associated indirectly with employee insomnia via lack of psychological detachment, and whether this indirect linkage is moderated by dispositional mindfulness. The study was conducted among 516 full-time employed hospital nurses in China over a one-year period. Results revealed that suppressed negative emotions, but not faked positive emotions, had a significant influence on employee insomnia over time, and lack of psychological detachment mediated the effect of suppressing negative emotions on insomnia. Tests of moderated mediation indicated that the mediated path was weaker for employees with higher levels of dispositional mindfulness. These findings advance our understanding of how and when surface acting negatively influences employee sleep, as well as point to implications for individual and organizational interventions. 相似文献
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Zhao Fan 《逻辑史和逻辑哲学》2020,41(2):128-139
In this paper, I explore an intriguing view of definable numbers proposed by a Cambridge mathematician Ernest Hobson, and his solution to the paradoxes of definability. Reflecting on König’s paradox and Richard’s paradox, Hobson argues that an unacceptable consequence of the paradoxes of definability is that there are numbers that are inherently incapable of finite definition. Contrast to other interpreters, Hobson analyses the problem of the paradoxes of definability lies in a dichotomy between finitely definable numbers and not finitely definable numbers. To bypass this predicament, Hobson proposes a language dependent analysis of definable numbers, where the diagonal argument is employed as a means to generate more and more definable numbers. This paper examines Hobson’s work in its historical context, and articulates his argument in detail. It concludes with a remark on Hobson’s analysis of definability and Alan Turing’s analysis of computability. 相似文献
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James S. Magnuson Heejo You Sahil Luthra Monica Li Hosung Nam Monty Escabí Kevin Brown Paul D. Allopenna Rachel M. Theodore Nicholas Monto Jay G. Rueckl 《Cognitive Science》2020,44(4):e12823
Despite the lack of invariance problem (the many-to-many mapping between acoustics and percepts), human listeners experience phonetic constancy and typically perceive what a speaker intends. Most models of human speech recognition (HSR) have side-stepped this problem, working with abstract, idealized inputs and deferring the challenge of working with real speech. In contrast, carefully engineered deep learning networks allow robust, real-world automatic speech recognition (ASR). However, the complexities of deep learning architectures and training regimens make it difficult to use them to provide direct insights into mechanisms that may support HSR. In this brief article, we report preliminary results from a two-layer network that borrows one element from ASR, long short-term memory nodes, which provide dynamic memory for a range of temporal spans. This allows the model to learn to map real speech from multiple talkers to semantic targets with high accuracy, with human-like timecourse of lexical access and phonological competition. Internal representations emerge that resemble phonetically organized responses in human superior temporal gyrus, suggesting that the model develops a distributed phonological code despite no explicit training on phonetic or phonemic targets. The ability to work with real speech is a major advance for cognitive models of HSR. 相似文献
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Visual word recognition is facilitated by the presence of orthographic neighbors that mismatch the target word by a single letter substitution. However, researchers typically do not consider where neighbors mismatch the target. In light of evidence that some letter positions are more informative than others, we investigate whether the influence of orthographic neighbors differs across letter positions. To do so, we quantify the number of enemies at each letter position (how many neighbors mismatch the target word at that position). Analyses of reaction time data from a visual word naming task indicate that the influence of enemies differs across letter positions, with the negative impacts of enemies being most pronounced at letter positions where readers have low prior uncertainty about which letters they will encounter (i.e., positions with low entropy). To understand the computational mechanisms that give rise to such positional entropy effects, we introduce a new computational model, VOISeR (Visual Orthographic Input Serial Reader), which receives orthographic inputs in parallel and produces an over-time sequence of phonemes as output. VOISeR produces a similar pattern of results as in the human data, suggesting that positional entropy effects may emerge even when letters are not sampled serially. Finally, we demonstrate that these effects also emerge in human subjects' data from a lexical decision task, illustrating the generalizability of positional entropy effects across visual word recognition paradigms. Taken together, such work suggests that research into orthographic neighbor effects in visual word recognition should also consider differences between letter positions. 相似文献
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Fan Liu Zachary Johnson Carolyn Massiah Tina M. Lowrey 《Journal of Consumer Behaviour》2020,19(4):339-350
This research examines consumers' participation in a nonmonetary, nonreciprocal form of online consumer exchange wherein consumers may decide to give only, receive only, or both give and receive. Given the lack of financial incentives or relational norms that would traditionally drive participation in this societally beneficial consumption activity for which we advance the term alternative giving, this research examines consumers' participation motivations. Are consumers, as prior research suggests, motivated to participate in alternative giving activities on the basis of prosocial motives or for other reasons? Through a content analysis of the online Freecycle Network, we found that participation is driven primarily by fundamental consumer needs and wants, though other prosocial, less materialistic factors are also drivers. Our findings also identify an inconsistency in product categories between what givers offer and what receivers seek, suggesting that supply–demand imbalances can emerge within alternative giving communities. 相似文献
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本研究要求120名被试完成一个既要求质量也要求数量的任务,旨在探索反馈类型与方式同工作绩效的关系。本实验采用一个3×3双向分类的实验设计,另外附加一个控制组。研究结果表明:(1)总体看来,反馈组的成绩要优于控制组。(2)反馈的性质影响着绩效水平。质量和数量的同时反馈其绩效水平要优于其它类型的反馈。(3)允许自由选择反馈和实施定期反馈能够提高个体的工作绩效。(4)自由选择和定期反馈与数质反馈的结合是取得高绩效目标的最佳控制模式。 相似文献
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注意定势转移任务(attentional set-shifting task, AST)可用于特异性检测啮齿类动物前额叶皮层及其皮层下神经通路介导的认知灵活性, 是目前研究认知灵活性及其障碍神经基础的重要模型。本研究系统调查了大鼠种系和检测程序差异对AST结果的影响。通过比较Wistar和Sprague Dawley (SD)两个种系大鼠在七阶段和五阶段两种AST检测程序中的认知表现, 研究发现：(1) SD和Wistar大鼠前额叶认知功能存在差异, 后者的总体认知表现优于前者。尤其是Wistar大鼠在逆反学习阶段的达标训练次数及错误率显著低于SD大鼠, 表明Wistar大鼠具有更高的策略转换灵活性。(2)在AST测试中逆反学习和外维度定势转移是认知灵活性评价的核心指标。这两种认知转换过程分别以前期策略和注意定势建立为基础。结果显示在两种AST检测程序中Wistar和SD大鼠在逆反学习和/或外维度定势转移等复杂学习阶段的达标训练次数和错误率均高于其它简单关联学习阶段, 表明在目前实验条件下大鼠均表现出定势形成和转换困难的反应模式, 不同认知反应间的结构关系具有稳定性。这些结果提示大鼠前额叶皮质介导的认知灵活性存在种系差异, AST各阶段认知反应间的结构效度不受目前使用的大鼠种系和检测程序差异的影响, 扩展了对AST模型的认识。 相似文献