临床诊断中现象与本质的辩证思维

在临床诊断中,疾病的症状、体征往往表现在外,成为现象。疾病本身及其病因,往往深藏于内,成为本质,二者是对立的,需要医师的认真分析、判断,才能辨别清楚。同时,二者又是统一的,要求医师研究大量的症状、体征,透过症状、体征发现准确的疾病及其病因。临床医师只有有效地把握住疾病性质及其病因,才能保证治疗的成功。在临床诊断中,症状、体征与疾病及其病因的关系,有的比较简单,分辨起来困难不大。有的比较复杂,分辨起来稍觉吃力,有的却峰回路转,一种疾病或病因在不同情况下表现出不同的症状,扑朔迷离,令人难以捉摸。疾病的轻重程度不同,有的…     

Do we feel the same level of guilt about the wrongdoings of close ones and distant ones? The mediating role of behavioural control

Understanding whether and why individuals' emotional responses are different to the same behaviour performed by different others is important for understanding phenomena in social interaction. Given that there is no relevant research in Eastern culture testing such issues, the present research including two studies was conducted with Chinese samples and investigated whether Easterners experience more vicarious guilt about close ones' immoral behaviours than distant ones' immoral behaviours and the underlying mechanism of the effect. Study 1 showed that people felt more guilty when recalling close ones' misdeeds than distant ones' misdeeds. Study 2 replicated the findings of Study 1 using the scenario method and demonstrated that behavioural control partially mediated the effect of relationship closeness on vicarious guilt, that is, people reported more behavioural control over close ones' immoral behaviours, which in turn resulted in more vicarious guilt. Implications for social interaction and directions for future research are discussed.     

基本药物制度对首诊制的影响及对策研究

基本药物制度实施后,药品价格降低,医保报销比例增加,有利于吸引患者到社区医疗机构就诊,促进了首诊制发展,但由于基本药物种类有限,居民用药习惯以及财政补偿不到位等都影响了基层卫生机构的功能发挥,不利于首诊制的发展.基本药物制度在实施中要不断完善,最终达到与首诊制共同发展的双赢局面.     

The preference for potential

When people seek to impress others, they often do so by highlighting individual achievements. Despite the intuitive appeal of this strategy, we demonstrate that people often prefer potential rather than achievement when evaluating others. Indeed, compared with references to achievement (e.g., "this person has won an award for his work"), references to potential (e.g., "this person could win an award for his work") appear to stimulate greater interest and processing, which can translate into more favorable reactions. This tendency creates a phenomenon whereby the potential to be good at something can be preferred over actually being good at that very same thing. We document this preference for potential in laboratory and field experiments, using targets ranging from athletes to comedians to graduate school applicants and measures ranging from salary allocations to online ad clicks to admission decisions. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

有时间压力下学习率对学习时间分配议程的影响:来自眼动的证据

利用眼动分析技术,通过设置不同难度和分值的计算项目,探讨了在有时间压力下学习者的学习时间分配。结果发现:(1)在首次项目选择上,学习者优先选择学习率最高的项目;(2)在学习过程中,学习者的项目选择次序也是根据学习率由高到低。总之,在学习时间分配上,如果需要权衡难度与分值,学习者会考虑单位时间的获益,也就是以学习率为议程的主要依据。研究不仅利用眼动分析技术证实了基于议程的学习时间分配模型,而且进一步揭示了学习率是设置学习时间分配议程的重要依据。     

项目竞争强度对网络成瘾大学生提取诱发遗忘的影响

执行功能缺陷是网络成瘾发生、维持和复发的原因之一,以往研究侧重于探讨网络成瘾者注意控制、反应抑制等执行功能成分的损伤状况,而其记忆抑制状况尚不清楚。本研究通过考察网络成瘾大学生的提取诱发遗忘（RIF）来探讨其记忆抑制的特点及RIF的产生机制。结果发现：低网络成瘾个体在高项目竞争强度下表现出显著的RIF,在低项目竞争强度下未产生;高网络成瘾个体在低项目竞争强度下表现出显著的RIF,在高项目竞争强度下未产生。结果表明网络成瘾大学生的记忆抑制能力受损严重,其在低项目竞争强度下易受相关代价与效益问题（CCB）影响而产生干扰性RIF。     

因果型连动结构的逻辑刻画

逻辑学以及形式语义学对汉语连动结构的研究一般都停留在一阶逻辑的层面上,即通过一阶逻辑中的形式化方法给出连动结构的形式化构造。但是在对不同类型连动结构进行更为深入的研究时,一阶逻辑这一工具就显的不够了。本文中,作者将以因果型连动结构为研究对象,利用一阶模态逻辑为其构建形式系统并尝试给出因果型连动结构和途径–目的型连动结构之间的区别和联系。     

A differing bidirectional impact on the recognition accuracy of facial expression

This study explored a bidirectional impact on the recognition accuracy of various facial expressions deriving from both the observer and sender in a sample of Chinese participants. A facial manipulation task was used to examine the ability of an observer's facial feedback to modulate the recognition of various facial expressions. Furthermore, the effect of a sender's facial expression with an open or closed mouth on recognition accuracy was investigated. The results showed that only recognition accuracy of a sad facial expression was influenced simultaneously by bidirectional sources from a sender and observer. Moreover, the impact of the unidirectional cue of a sender's facial feature (i.e., mouth openness) on happy and neutral faces was found to influence the recognition accuracy of these faces, but not the observer's bodily state. These findings indicate that the bidirectional impact derived from an observer and sender on facial expression recognition accuracy differs for emotional and neutral expressions.     

相干逻辑关系语义的推理解释

关系语义是相干逻辑中最为重要的语义学之一,但是关系语义一开始就以"纯粹"的形式语义的面貌出现,其中三元关系R的直观意思是什么并不清楚,于是出现了关于关系语义的多种解释。我们认为,R所代表的是推理规则集、前提集和结论集三者之间的关系,据此提出了推理语义。推理语义以推理的形式结构为背景,有明确的直观意义。本文以相干逻辑系统R+为例,证明出推理语义是与关系语义等价的语义。从推理语义与关系语义的这个等价关系上看,推理语义完全可以作为对于关系语义直观解释的一个中间环节。由此不仅使得关系语义有了推理结构的解释,同时说明了相干逻辑是一种关于推理的逻辑。这与相干逻辑产生的历史也完全吻合。     

新型冠状病毒肺炎定点医院医护人员心理状况调查分析

为了解定点收治新型冠状病毒肺炎患者的医院中医护人员心理状况,从而针对性地进行心理护理,采用便利抽样法,应用《医护人员心理健康调查表》对3所定点收治新型冠状病毒肺炎患者的医院中1 266名医护人员进行问卷调查。结果显示,定点医院医护人员中,27.5%存在抑郁,26.3%存在焦虑,26.0%存在孤独。女性、已婚、传染科、发热门诊、监护室相比男性、未婚、普通门诊更容易抑郁;传染科、监护室相比普通门诊更容易焦虑。因此,医院应加强对这类群体的心理疏导和人文关怀,以减轻心理压力,提高工作效率。