文化人类学视域下的《内经》研究

文化人类学具有跨文化研究的学科优势,其理论与方法逐渐在中医研究中得到关注,文化人类学在中医经典著作的《黄帝内经》的研究中理应发挥作用。理顺了法、英、美等西方有影响力的人类学家的理论与方法,并将其运用到《内经》研究中,分析了《内经》冠以“黄帝”书名的缘由、“祝由”治病、对重视“脏腑”功能的理解以及对所蕴含的传统文化思想的解读等相关内容,不仅拓宽了《内经》的研究领域,而且对于社会文化传播、《内经》国际化的学术交流以及教学都是有益的。     

右美托咪定对胃肠道开腹手术瑞芬太尼诱发痛觉过敏的影响

探讨术中泵注右美托咪定对瑞芬太尼所致术后痛觉过敏及不良反应的影响。60例择期开腹胃肠道手术患者,随机分成右美托咪定组（Ⅰ组,n=30）和对照组（Ⅱ组,n=30）。分别记录术后自主呼吸恢复时间、唤醒时间、拔管时间;记录术后30min、1h、2h、4h、6h的疼痛视觉模拟评分（VAS）及Ramsay镇静评分;记录术后24h内静脉镇痛泵的使用情况及术后不良反应。两组患者的术后恢复自主呼吸时间、唤醒时间及气管导管拔管时间相当,差异无统计学意义（P〉0．05）;术后30rain、1h、2h,Ⅰ组患者的VAS评分明显低于Ⅱ组患者,差异有统计学意义（P〈0．05）;Ⅰ组患者在术后30min、1h、2h、4h的Ramsay评分明显高于对照组,差异有统计学意义（P〈0．05）;Ⅰ组患者在术后初次按压镇痛泵的时间较Ⅱ组患者明显延长,24h内镇痛泵的按压次数Ⅰ组较Ⅱ组患者减少（P〈0．05）;两组患者术后均无呼吸抑制的发生,但Ⅰ组比Ⅱ组其他不良反应的发生率降低,差异有统计学意义（P〈0．05）。在开腹胃肠道手术的麻醉中使用右美托咪定可有效减少瑞芬太尼全身麻醉后痛觉过敏的发生率,并减少术后镇痛药的用量。     

Interpersonal self‐support and attentional bias on negative and positive interpersonal information

Interpersonal self‐support is an indigenous Chinese personality concept. It represents the idealized notion of the kind of personality traits that help individuals deal with interpersonal problems and develop and maintain the harmonic and appropriate social relationships required in China's collectivistic and interdependent culture. It also was assumed to be a protective personality factor with regard to mental health and was found to be negatively related to psychosomatic symptoms. In the current study, cognitive processing of interpersonal information is assumed to be an underlying mechanism that connects interpersonal self‐support with interpersonal relationships and mental health. To test this hypothesis, we conducted two experiments to investigate whether attentional bias on positive and negative interpersonal information was related to high and low interpersonal self‐support. A spatial cueing task and the emotional Stroop task were administered to two samples of high and low interpersonal self‐support Chinese undergraduate students to measure attentional bias. The results from both experiments suggested that high interpersonal self‐support students had an attentional bias toward positive interpersonal information, while low interpersonal self‐support students preferentially attended to negative interpersonal information. Study 1 indicated that attentional bias toward positive interpersonal information was easily engaged in the high interpersonal self‐support group, while attentional bias toward negative interpersonal information was both easy to engage and difficult to disengage in the low interpersonal self‐support students. These results support our hypotheses that high interpersonal self‐support people engage in positive processing of interpersonal information, whereas low interpersonal self‐support people engage in negative processing of interpersonal information. The differential balance between positive and negative processing on interpersonal information may explain why interpersonal self‐support predicts both mental health and interpersonal relationships. In addition, the relational schema may explain why interpersonal self‐support is associated with an attentional bias toward interpersonal information.     

知情交互作用的实证研究现状与展望

知情交互作用(the interaction of cognition-emotion)是指认知与情绪之间相互作用,相互影响,二者密不可分.当前,知情交互作用的研究主要涉及两个方面:一是认知对情绪的影响,即认知对情绪的产生和情绪调节的影响;二是情绪对认知的影响,即情绪对感知觉、记忆和思维的影响.本文从实证角度,综合相关文献选取各自领域具有代表性的最新研究成果进行了概要述评,并进一步指出未来的研究应该在无意识情绪的脑机制、情绪-想象的交互作用、情绪-语言的交互作用,以及知-情-行的整合等方面进一步探讨.     

Mind wandering while reading easy and difficult texts

Mind wandering is a phenomenon in which attention drifts away from the primary task to task-unrelated thoughts. Previous studies have used self-report methods to measure the frequency of mind wandering and its effects on task performance. Many of these studies have investigated mind wandering in simple perceptual and memory tasks, such as recognition memory, sustained attention, and choice reaction time tasks. Manipulations of task difficulty have revealed that mind wandering occurs more frequently in easy than in difficult conditions, but that it has a greater negative impact on performance in the difficult conditions. The goal of this study was to examine the relation between mind wandering and task difficulty in a high-level cognitive task, namely reading comprehension of standardized texts. We hypothesized that reading comprehension may yield a different relation between mind wandering and task difficulty than has been observed previously. Participants read easy or difficult versions of eight passages and then answered comprehension questions after reading each of the passages. Mind wandering was reported using the probe-caught method from several previous studies. In contrast to the previous results, but consistent with our hypothesis, mind wandering occurred more frequently when participants read difficult rather than easy texts. However, mind wandering had a more negative influence on comprehension for the difficult texts, which is consistent with the previous data. The results are interpreted from the perspectives of the executive-resources and control-failure theories of mind wandering, as well as with regard to situation models of text comprehension.     

精神分裂症患者在听觉掩蔽环境下的言语识别

深入研究精神分裂症患者特异性的认知障碍有助于精神分裂症的早期发现、早期诊断和早期治疗.本综述在总结精神分裂症患者的听觉和言语识别异常以及听觉注意和听觉工作记忆缺陷的同时,重点阐述了精神分裂症患者完成言语听觉任务时的对掩蔽刺激特别信息掩蔽刺激的异常易感性.本文还特别指出,精神分裂症患者仍然具有利用言语内容启动线索来提高掩蔽下言语识别的能力.本文所总结的研究成果对探讨精神分裂症的病因学基础、寻找新的临床诊断以及治疗和康复手段都具有参考价值.     

高级技工诊断生产活动的认知策略的汇编栅格法研究

本研究采用汇编栅格法探讨了高级技工(专家)诊断人机系统生产活动的认知策略,结果表明:第一,在高级技工的认知结构中,存在着对多因素交互作用下复杂情况进行诊断的认知地图,它以特定方式组合着常见的问题类型和原因特征,是制约技工复杂技能教学成效的关键要素。第二,汇编栅格法是对人机系统中专家的认知结构进行功能模拟的一种有效方法,它不仅在揭示未知的高级技工认知结构时,以其直观的投射方式提供专家启发式策略的新信息,而且在培训和评估复杂技能方面具有可观的应用前景。     

语素意识对学前儿童言语技能发展的预测作用：追踪研究的证据

为探讨词素意识、同形语素意识和形旁意识等不同层面语素意识对汉语儿童口语词汇、汉字识别和阅读理解能力发展的预测作用,本研究对75名学前儿童进行了一年半的追踪,结果发现:(1)学前儿童的语素意识和言语技能随时间均有显著增长。(2)在控制了因变量的自回归效应后,同形语素意识对一年半后的口语词汇成绩仍有显著的预测作用;词素意识能显著预测一年半后的汉字识别成绩;词素意识和形旁意识是儿童一年半后阅读理解成绩变异的重要解释变量。这表明语素意识对于学前儿童语言技能的发展具有重要的预测作用。     

构建我国全科医生培养质量保障体系的探索

目前我国全科医生培养质量不高,尚不能满足社区卫生居民的健康需求.从全科医生的概念、培养现状、培养目标、培养模式等方面着手分析,发现全科医生培养存在医学院校教育基础不牢、培训效果欠佳、继续医学教育重视度不够等问题,并提出严格确定高等医学院校培养方案、重视毕业后与继续医学教育、加强外部评估与自我监督、建立全科医生反馈系统等建议,从而构建全科医生培养质量保障体系,以期保证全科医生培养质量.     

别尔嘉耶夫论痛苦

论述了别尔嘉耶夫的痛苦观,提出了辩证应对痛苦的策略,通过改变社会制度和发展科学知识来消除和克服痛苦、由“爱”来克服痛苦、用同情减轻痛苦、与不公正的痛苦进行斗争以及懂得痛苦的辩证法.别尔嘉耶夫辩证的痛苦观思想对于人们构建和谐生活会有所启示.