公立医院“医疗联合体”改革探析

公立医院“医疗联合体”改革模式为解决“看病难”问题提供了新思路, 其目的是促使优质医疗资源通过医疗联合体纵向下沉, 从而达到医疗资源最大化利用和居民就诊的合理分流。为了推进我国“医疗联合体”改革模式的发展, 首先分析了医疗联合体的作用和面临的障碍, 然后介绍我国上海、北京、湖北、重庆的“医疗联合体”改革实践模式, 在此基础上对我国“医疗联合体”改革发展提出相关建议, 期望对我国这种改革模式的实施推进提供一定的参考价值。     

老化的年龄标识:主观年龄对老年人主观老化体验的影响

为证明年龄对老化的标识作用,研究假设降低被试的主观年龄可减少老年人的主观老化体验。采取实验组控制组前测后测设计,以主观年龄为自变量,分为"等于年代年龄"(控制组)和"小于年代年龄10±5岁"(实验组)两种水平,随机分配至两组的62名老年被试填写《个人老化体验问卷》,评估其主观老化体验。结果显示,实验组在后测中的主观老化体验不仅显著低于本组前测,也显著低于控制组,且这一结果不受被试最初自评的主观年龄影响。原假设得到证明,支持年龄对老化的标识作用。年龄标识对老化意义的简单化建构了世俗的绝对老化观。     

乳头体和隔区在大鼠条件性味觉痕迹的形成和保存中的作用

本工作是在前一工作的基础上,进一步研究分别电损毁有关回路的乳头体、隔区,对以糖精水为条件刺激。氯化锂腹腔注射引起中毒作为非条件刺激的条件性糖精厌恶痕迹的形成和保存的影响。结果表明,无论是损毁乳头体,或者隔区,对条件性糖精厌恶痕迹的形成和保存均无影响。说明在本实验条件下,这种条件性味觉痕迹的形成与保存,不依赖边缘系统的乳头体、海马、隔区这些回路的参与,这就进一步说明味觉信号的记忆确有其不同于视、听觉信号的记忆的机制的。     

肿瘤药品临床试验中的知情同意

肿瘤学的发展一直伴随抗肿瘤新药的研发与临床试验.获取受试者的知情同意是完成临床试验过程中最重要的一步.如何顺利而有效地获取知情同意并保护其合法权益不受侵犯成为研究者最为关注的话题.本文就如何解决这一过程中存在的问题进行了初步探讨.     

图形型归纳推理的神经机制:一项fMRI研究

利用fMRI脑成像技术探讨图形型归纳推理的神经机制。设计了一种由图形形状和条纹方向描述的简单几何图形组成的归纳推理任务,这种图形型任务与以往研究中常用的语句型归纳推理任务是同质的。根据两个图形共享特征数量的不同设计了两种实验任务:共享两个特征(2T)和共享一个特征(1T),以休息基线(Rest)作为控制任务。2T和1T任务均为归纳推理任务,但2T任务包含知觉特征整合成分,而1T任务不包括。结果发现:与控制任务相比,归纳推理任务在前额区(BA6、9、11、46、47)、尾状核、壳核和丘脑等脑区有显著激活,反映了"前额皮层-纹状体-丘脑"通路在图形型归纳推理中的重要作用;图形型归纳推理中的知觉信息整合与右侧额下回(BA47)、双侧尾状核头部、壳核等脑区有关。     

变革型领导对员工绩效和满意度的影响：心理资本的中介作用及程序公平的调节作用

通过对国内一家企业共785位员工及其直接主管的问卷调查, 考察了下属心理资本在变革型领导与下属工作绩效及满意度之间关系的中介作用以及程序公平对该关系的调节作用。研究结果显示：1)下属的心理资本与其工作绩效和满意度正向相关; 2)下属的心理资本部分中介了变革型领导对下属工作绩效及满意度的正向关系; 3) 下属的程序公平调节了变革型领导对下属心理资本的影响。具体而言, 下属的程序公平感越高, 变革型领导与下属心理资本的正向关系越强, 反之越弱; 4) 进一步地, 程序公平调节了下属心理资本对变革型领导－工作绩效和满意度的中介作用, 即：程序公平感越高, 变革型领导通过心理资本对下属的工作绩效和满意度所产生的作用就越强, 反之越弱。最后讨论了该研究的理论意义和应用价值。     

四卡问题的内容促进效应的实验研究

本研究设计了２种抽象材料和４种具体材料的四卡问题,对４３６名大学生进行测试,以考察被试解决四卡问题时所采用的思维方式并检验命题内容对推理的影响。结果表明,四卡问题十分困难,具体内容的四卡问题并不能产生促进效应,大学生的推理表现出“匹配偏向”的特点。     

3~5岁幼儿自我延迟满足的发展特点及其中澳跨文化比较

采用实验室实验和情境观察相结合的方法,考察了我国3~5岁幼儿自我延迟满足发展的特点及中澳幼儿自我延迟满足的跨文化差异。研究结果表明：(1) 3~5岁幼儿自我延迟满足平均延迟时间随年龄增长而延长;3岁幼儿使用延迟策略少,4岁幼儿主要使用寻求策略,5岁幼儿主要使用寻求策略和自我分心、问题解决策略,自我言语控制策略在整个幼儿期始终不具有显著优势性。(2) 澳大利亚幼儿自我延迟满足发展水平高于我国同龄幼儿;在延迟策略选择上中澳幼儿既具有差异性,又具有一定的相似性;文化价值观通过教育影响着幼儿自我延迟满足的发展。     

Recruitment and Retention of Low‐SES Ethnic Minority Couples in Intervention Research at the Transition to Parenthood

Low‐SES couples have limited resources to manage the chronic and acute stressors with which they are disproportionately faced. Although these couples are at greater risk for negative individual and relationship outcomes, evaluations of the impact of couple relationship education (CRE) in low‐SES couples have been plagued by methodological problems, most notably challenges associated with recruitment and retention. We review the literature on challenges couples face associated with low‐SES, as well as on recruitment, retention, and CRE in low‐SES, ethnic minority populations. We illustrate some of these challenges in a case study of CRE for low‐SES couples transitioning to parenthood. In this pilot study, 21 couples were recruited from a community health clinic and randomized to either an experimental treatment condition (EXP; N = 11) or a treatment‐as‐usual control condition (TAU; N = 10). This study sought to mitigate documented challenges with recruitment and retention: We leveraged community partnerships, attempted to build and maintain strong relationships with study participants, provided incentives for assessments as well as intervention meetings, and attempted to reduce potential barriers to enrollment and retention. Nonetheless, we had low rates of recruitment and retention. We integrate these findings and experiences with our review of previous work in this area. We make recommendations for future CRE research and practice that have potential implications for public policy in this area.     

The Ability of Face Viewpoint Transformation Remains Immature at Age of 12: Evidence from Recognition of Faces with Different Familiarity in Children

Children are immature in face recognition, particularly in face configural decoding. This study examines the developmental difference of face recognition in another mechanism: viewpoint transformation processing. Adults and sixth‐grade children were instructed to match a series of one‐tone black face silhouettes to their corresponding front‐view faces. This task involves sophisticated calculation in pictorial information, precise viewpoint transformation, and most probably a 3‐D face representation. The results showed that although the performances were well above chance level in the recognition of familiar faces, for children, they were at chance level in the recognition of unfamiliar faces. The results indicate that children, at least to the age of about 12 years, are still immature in the processing of face viewpoint transformation compared to adults.