放射影像检查中的医学伦理困境及对策分析

分析放射影像检查中面临的医学伦理困境及产生原因,包括医疗市场化、公立医院背离公益性、相关卫生法律法规不足、部分医务人员缺乏医学伦理学意识和知识、医务人员业务水平参差不齐等,并提出了相应的改进对策：强化公立医院公益性,坚持以患者为中心,合理、有序、有效地选用各种成像技术和检查方法,优化影像检查程序,避免过度检查和重复检查,加强法制与政策监管,充分保护患者的生命健康权、知情同意权、隐私权,提高医务人员医学伦理意识和业务水平,真正体现对患者的人文关怀。

     

先前知识经验对远距离水平映射规则内隐学习的限制

先前研究发现远距离规则能够被内隐地习得和迁移,表明内隐学习获得的知识是底层的抽象规则,那么这一抽象规则的习得和迁移是否会受到先前知识经验的限制?研究采用汉语声调的远距离水平映射规则为材料,通过创设不符合平仄知识经验的任意声调水平映射规则,在控制组块和重复结构等表面特征的条件下,探讨先前知识经验是否限制了远距离水平映射规则的内隐学习和迁移。结果发现相对于符合平仄知识经验的汉语声调水平映射规则,被试不能够内隐地习得和迁移任意声调的水平映射规则,表明先前知识经验在远距离水平映射规则内隐学习过程中发挥着重要作用。     

词语后情绪环境对语义和感知加工的影响

词语后情绪环境对其中的事件记忆产生影响,但是事件后情绪环境如何影响记忆加工仍不清楚。不同的情绪环境理论—“唤醒偏向竞争理论”,“拓宽-建构理论”,“记忆中心的积极情绪促进理论”支持情绪促进的不同本质。已有的研究表明,注意在情绪记忆中有重要作用。实验一、实验二分别探讨词语后情绪环境对其语义加工与内源源加工和外源源加工的影响。与中性环境相比,积极与消极情绪环境阻碍了外源源特征的加工; 与中性环境和积极情绪环境相比,消极情绪环境阻碍了内源源特征的加工。实验结果支持“唤醒偏向竞争理论”,同时表明“评估”和“注意放置”在情绪环境影响中的重要作用。     

Active school travel is associated with fewer suicide attempts among adolescents from low-and middle-income countries

Background/Objective: This study explored the association between active school travel (AST) and suicide attempts among adolescents in low- and middle-income countries (LMICs). Method: We used the data from the Global School-based Health Survey, including 127,097 adolescents aged 13-17 years from 34 LMICs. A self-reported survey was used to collect data on AST and suicide attempts as well as some variables. Multivariable logistic regression was performed to assess the association between AST and suicide attempts. A meta-analysis with random effects was undertaken to identify the difference in the association between AST and suicide attempts. Results: Across all the adolescents, the prevalence of AST was 37% and the prevalence of suicide attempts was 11.60%. Adolescents who engaged in AST were less likely to have suicide attempts irrespective of gender. The country-wise analysis indicated a large inconsistency in the association between AST and suicide attempt across the countries. Conclusions: AST would appear to be a protective factor for reducing suicide attempts among adolescents. However, the association between AST and suicide attempts varied greatly across the countries. Future studies should confirm the association between AST and suicide attempts.     

基于多层验证性因素分析的各种信度系数方法

近年来,心理学研究的复现性受到广泛关注,许多实证研究难以重复验证,信度较低。大量研究使用多层技术,但只报告整体信度,导致研究可重复危机。基于各种信度系数和验证性因素分析的理论,以二层模型为例,总结多层信度计算方法,通过文献综述检索应用情况,并用MPLUS进行实例演示,最后讨论单层信度估计存在的偏差及分层估计的好处。总之,对多层数据进行分层信度估计是很有必要的,可消除因测量工具缺乏信度而导致的研究不可重复。     

儿童攻击和自我感知的关系

使用基于多水平分析技术的元分析方法对有关儿童攻击和自我感知相关的研究结果进行分析,并对计算结果用模拟方法进行模拟。结果显示现有研究中攻击和自感认知能力之间的相关为-0．01,攻击和自我总体感知间地相关为-0．08,相关结果为低度负相关但达到显性水平,攻击和自感社交能力之间的相关关系不显,模拟结果与此类似。现有关于儿童攻击和自我感知关系的研究数量还偏少。     

再认记忆测验中抑郁个体的心境一致性记忆研究

采用Ｊａｃｏｂｙ的加工分离程序,对再从记忆测验中外显记忆成分与内隐记忆成分的贡献进行分离,考察了抑郁个体的内隐记忆和外显记忆是否具有心境一致性记忆倾向。结果表明：抑郁个体的外显记忆具有心境一致性倾向,而内隐记忆不存在心境一致性倾向,表明心境一致性记忆需要精细加工机制的参与。另外发现,抑郁个体存在外显记忆缺损而没有出现内隐记忆缺损。最后就一些有待进一步研究的方面进行了讨论。     

Temporal kinetics of prefrontal modulation of the extrastriate cortex during visual attention

Single-unit, event-related potential (ERP), and neuroimaging studies have implicated the prefrontal cortex (PFC) in top-down control of attention and working memory. We conducted an experiment in patients with unilateral PFC damage (n=8) to assess the temporal kinetics of PFC-extrastriate interactions during visual attention. Subjects alternated attention between the left and the right hemifields in successive runs while they detected target stimuli embedded in streams of repetitive task-irrelevant stimuli (standards). The design enabled us to examine tonic (spatial selection) and phasic (feature selection) PFC-extrastriate interactions. PFC damage impaired performance in the visual field contralateral to lesions, as manifested by both larger reaction times and error rates. Assessment of the extrastriate P1 ERP revealed that the PFC exerts a tonic (spatial selection) excitatory input to the ipsilateral extrastriate cortex as early as 100 msec post stimulus delivery. The PFC exerts a second phasic (feature selection) excitatory extrastriate modulation from 180 to 300 msec, as evidenced by reductions in selection negativity after damage. Finally, reductions of the N2 ERP to target stimuli supports the notion that the PFC exerts a third phasic (target selection) signal necessary for successful template matching during postselection analysis of target features. The results provide electrophysiological evidence of three distinct tonic and phasic PFC inputs to the extrastriate cortex in the initial few hundred milliseconds of stimulus processing. Damage to this network appears to underlie the pervasive deficits in attention observed in patients with prefrontal lesions.     

试论宋儒人文性格的时代特征

受时代变迁和社会环境的影响,宋儒的人文性格呈现出鲜明的时代特质。他们所表现出来的“仕以行道”、以天下为己任的理想与豪情,严格的道德自律精神,深沉、浓重的忧患意识,参禅悟道、争相趋禅之风尚,从一定意义上讲,都与当时的社会文化环境密切相联。宋儒人文性格之形成与涵养,涵摄了个人自身和与之相应的社会文化现象的多重因素。