Le spécialiste en médecine interne,véritable expert judiciaire ?

In France, internal medicine is a clinical speciality, which is dedicated to difficult diagnosis and complex therapeutical strategy. These two characteristics can easily be sollicitated by Judges, in order to have the best possible expertise.     

咳嗽与咳嗽治疗

咳嗽是临床上常见的症状之一,其对人们健康的影响是辩证的,咳嗽治疗也是辩证的.有需要止咳的,有需要治疗但不是止咳治疗的,有不需要治疗的,还有要鼓励患者咳嗽的.临床上遇到咳嗽患者时,要用辩证的观点进行治疗,辨证施治,用哲学观来看待问题,最终才能解决问题.     

Base Rates,Deception Detection,and Deception Theory: A Reply to Burgoon (2015)

This essay continues a debate about the relative scientific merits of the Park‐Levine Model (PLM) and Interpersonal Deception Theory (IDT) with regard to accuracy in deception detection. Key points of disagreement include (a) the degree to which message recipients are sensitive to sender veracity and (b) the extent to which interactivity moderates the veracity and base‐rate effects specified by PLM. According to PLM, people are truth‐biased, truth‐bias makes people insensitive to deception, and as a consequence, base rates affect accuracy regardless of interactivity. IDT, in direct contrast, holds that people are sensitive to the veracity of other's communication and that interactivity is a key moderator. Consistent with PLM, data repeatedly show that people are insensitive to other's veracity and that this insensitivity is general across media affordances including interactivity. This rejoinder uses Burgoon's (2015) own interactive data to demonstrate the empirical superiority of PLM over IDT.     

Computational models inform clinical science and assessment: An application to category learning in striatal-damaged patients

In this article we develop a new model of classification that is intermediate between the static, single strategy decision-bound models and the dynamic trial by trial multiple systems model, dCOVIS. The new model, referred to as the sCOVIS model, assumes hypothesis-testing and procedural-based subsystems are active on each trial, but that the parameters that govern behavior of the system are fixed (static) within a block of trials. To determine the clinical utility of the model, it was applied to nonlinear information-integration classification data from patients with Parkinson’s (PD) and Huntington’s disease (HD). In one application, the models suggest that the locus of HD patients’ nonlinear information-integration deficits is in their increased reliance on hypothesis-testing strategies, whereas the locus of PD patients’ deficit is in the application of sub-optimal procedural-based strategies. In a second application, the weight associated with the hypothesis-testing subsystem is shown to account for a significant amount of the variance in longitudinal cognitive decline in non-demented PD patients above and beyond that predicted by accuracy alone. Together, the accuracy rate and this model index account for 72% of the total variance associated with cognitive decline in this sample of PD patients. Interestingly, the Wisconsin Card Sort task added no additional predictive power above and beyond that predicted by nonlinear accuracy alone.     

White matter development during adolescence as shown by diffusion MRI

Previous volumetric developmental MRI studies of the brain have shown white matter development continuing through adolescence and into adulthood. This review presents current findings regarding white matter development and organization from diffusion MRI studies. The general trend during adolescence (age 12–18 years) is towards increasing fractional anisotropy (FA) with age and decreasing mean diffusivity (MD) with age, findings primarily due to decreasing radial diffusivity with age. However, results of studies vary as to the regional specificity of such age-related changes, likely due in part to methodological issues. Another general trend is for FA to positively correlate and MD to negatively correlate with cognitive function. This trend is however region-specific, task-specific, and population-specific; some studies have in fact found negative correlations of FA and positive correlations of MD in specific regions with specific measures of cognitive performance. There are also published reports of sexual dimorphism in white matter development, indicating differing developmental trajectories between males and females as well as differing relationships developmentally between white matter architecture and cognitive function. There is a need for more research to further elucidate the development of white matter and its relation to cognitive function during this critical developmental period.     

Perspective Taking and Communication Satisfaction in Coworker Dyads

Purpose  

This study addressed whether or not self-rated and other-rated perspective taking would converge and questioned the relationship between perspective taking and communication satisfaction among coworkers.     

马克思主义中国化的学术意义

Raising the questions of how to construct the contemporary system of the Chinese academic discourse and of its background means that the yardsticks of its academic measure should be reappraised. All the important theoretical ideas come from theorists'innovative reactions in their responses to the theoretical and realistic challenges. The right perspective of their observation should start from social sources in which ideas rise,and thereby critical opinions are extracted against the existing theory. In the ...