浅析蕴含在神经外科技术发展过程中的辩证思维

自然辩证法揭示了自然界以及科学技术发展的一般规律,神经外科学也不例外.纵观现代神经外科学一百多年来的技术变革和发展历程,无不渗透着辩证思想的影响.作为科学的认识论和方法论.自然辩证法对神经外科技术发展和临床实践的指导意义值得我们重视,本文对矛盾规律、质量互变规律、否定之否定规律、内因与外因、偶然性与必然性等范畴或规律在神经外科技术变革过程中的体现和意叉进行了探讨.     

男性不育症临床工作的问题与思考

在临床工作中,不育越来越受到大家的重视,但仍然有许多问题困扰着我们的医疗工作者,多数医生能对男性不育症做出诊断,并给予治疗.但是由于生殖问题的复杂性和我们认识的局限性,不育症的治疗效果并不满意.在不育症诊断和治疗的思路、方法和方式中仍有许多值得探讨和改进之处.     

Value tradeoffs propel and inhibit behavior: Validating the 19 refined values in four countries

We assess the predictive and discriminant validity of the basic values in the refined Schwartz value theory by examining how value tradeoffs predict behavior in Italy, Poland, Russia, and the USA. One thousand eight hundred and fifty‐seven respondents reported their values and rated their own and a partner's behavior. Multigroup confirmatory factor analysis supported the distinctiveness of the 19 values and the 19 self‐rated and other‐rated behaviors. Multidimensional scaling analyses supported the circular motivational order of the 19 values. Findings affirmed the theorizing that behavior depends upon tradeoffs between values that propel and values that inhibit it. Across four countries, value importance, behavior frequency, and gender failed to moderate the strength of value–behavior relations. This raises the question of the conditions under which the widely cited assumption that normative pressure weakens value–behavior relations holds.     

自上而下的因素对掩蔽启动中自动加工过程的影响

本文综述并探讨了自上而下因素的调节对启动过程的影响作用。自上而下因素的调节作用是指根据外界不断更新的对行为的要求, 大脑皮层的活动被设定于某种特殊的工作模式中。启动过程是指先前出现的启动刺激对随后目标刺激加工的易化和抑制, 是自动加工过程的体现。近年来, 部分研究认为启动范式引发的自动加工过程(包括知觉加工、语义加工和反应过程)可受到与注意、任务相关的自上而下因素的调节, 例如, 任务指导语的作用、对注意范围的设定等等。本文对此领域的研究及年龄因素进行了总结、分析和展望。启动效应可受到自上而下的注意、目的、任务要求等因素的调节, 且存在年龄因素的影响。     

Self‐Monitoring and Counseling Skills: Skills‐Based Versus Interpersonal Process Recall Training

The purpose of this study was to investigate the role of personality traits of counselors‐in‐training with regard to counseling performance. There were no differences in pretest or posttest scores on the Skilled Counseling Scale (SCS) of high and low self‐monitoring counselors‐in‐training. Skill attainment may have more effect on personality traits than traits have on skill attainment. Both Interpersonal Process Recall (IPR) and Skilled Counselor Training Model (SCTM) groups improved their scores on the SCS, but the SCTM group improved significantly more than the IPR group.     

Are self reports of memory failure accurate?

Previous research with memory questionnaires has been interpreted as showing that people do not recall their memory failures accurately. The present research consisted of three investigations that examined whether participants' reports of memory failures were corroborated by their spouses. These investigations used a greater variety of statistical and survey methods than were used in previous investigations. The results demonstrated that people are able to recall memory failures more accurately than previous research indicated. These results have important methodological and theoretical implications for basic and applied assumptions about what people know about their memory failures. Copyright © 2005 John Wiley & Sons, Ltd.     

危险性分析在大学生亚健康状况研究中的应用

亚健康状况在大学生中已经相当普遍,并且严重危害大学生的健康成长.通过应用危险性分析方法,描述了亚健康状况的危害特征及暴露情况,在此基础上概括出亚健康的成因,并提出针对性的对策来解决亚健康所带来的危害,从而帮助大学生实现从亚健康向健康的转化.     

特需医疗服务供方意向调查分析

剖析目前特需医疗服务供方所存在的主要问题,初步探讨在我国发展特需医疗服务适宜的承担主体。采用个别访谈和问卷调查的方法对来自不同性质的医院的医护人员和医院管理人员进行了意向调查。结果显示,医院发展特需医疗服务并不是解决医务人员收入问题的有效手段;公立医院发展特需医疗服务势必会对其普通医疗服务带来负面影响。建议在确保大部分公立医院只提供普通医疗服务的基础上,由私立医院和一部分公立医院作为特需医疗服务的承担机构。     

Measuring the core features of personality disorders in substance abusers using the Temperament and Character Inventory (TCI)

Personality disorders (PDs) are still classified through categorical taxonomies that are at odds with current research findings. Dimensional models provide a suitable alternative for measuring individual differences. However, as they have traditionally lacked a clear definition of the "disorder" construct, the clinical utility of these models has been limited. This study tests whether Cloninger's dimensional model is able to capture two domains: the features that differentiate PD subtypes from each other and the common core features underlying all PDs. Seventy-four drug dependent patients were independently assessed using the SCID-II and Cloninger's TCI. There was a slight relationship between TCI temperament dimensions and the DSM personality disorder subtypes, but the association was not specific enough to allow differential diagnosis. The character dimension Self-Directedness was strongly associated with the presence and severity of all PDs, irrespective of subtype, correctly classifying 77% of subjects. Character dimensions are a reliable, valid and low-cost tool for detecting PDs in drug abusers and may help to provide an operational definition of the common core features underlying all PDs.     

Masculinity-femininity as a national characteristic and its relationship with national agoraphobic fear levels: Fodor's sex role hypothesis revitalized

Hofstede's dimension of national culture termed Masculinity-Femininity [. Cultures and organizations: software of the mind. London: McGraw-Hill] is proposed to be of relevance for understanding national-level differences in self-assessed agoraphobic fears. This prediction is based on the classical work of Fodor [. In: V. Franks & V. Burtle (Eds.), Women in therapy: new psychotherapies for a changing society. New York: Brunner/Mazel]. A unique data set comprising 11 countries (total N=5491 students) provided the opportunity of scrutinizing this issue. It was hypothesized and found that national Masculinity (the degree to which cultures delineate sex roles, with masculine or tough societies making clearer differentiations between the sexes than feminine or modest societies do) would correlate positively with national agoraphobic fear levels (as assessed with the Fear Survey Schedule-III). Following the correction for sex and age differences across national samples, a significant and large effect-sized national-level (ecological) r=+0.67 (P=0.01) was found. A highly feminine society such as Sweden had the lowest, whereas the champion among the masculine societies, Japan, had the highest national Agoraphobic fear score.