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811.
812.
Barilan YM 《The Journal of medical humanities》2007,28(2):59-80
This paper discusses one of the most famous paintings on medical themes: The Doctor by Sir Luke Fildes (Fig. 1), which exemplifies how an ideal type of doctoring is construed from reality and from the views and expectations of both the public and doctors themselves. A close reading of The Doctor elucidates three fundamental conflicts in medicine: the first is between statistical efficiency in accordance with scales of morbidity and mortality and the personal devotion that every sick child or suffering individual wants to receive; the second is between the doctor-dominated market and the patient-dominated market; and the third is between influential and rich doctors ("consultants") and practitioners of family medicine (GPs). 相似文献
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815.
Functional balance and dual-task reaction times in older adults are improved by virtual reality and biofeedback training. 总被引:1,自引:0,他引:1
Virtual reality (VR) training has been used successfully to rehabilitate functional balance and mobility in both traumatic brain injury (TBI) survivors and elderly subjects. Similarly, computer-based biofeedback (BF) training has resulted in decreased sway during quiet stance and decreased reaction times during a dual-task reaction time paradigm in elderly subjects. The objective of this study was to determine the effect of VR and BF training on balance and reaction time in older adults. Two groups of twelve healthy older adults completed 10-week training programs consisting of two 30-min sessions per week. VR training required that participants lean sideways to juggle a virtual ball. Participants in the BF group viewed a red dot representing their center of gravity on a screen and were required to move the dot to the four corners of the monitor. Measures of functional balance and mobility (Community Balance and Mobility Scale [CB&M]), sway during quiet stance, and reaction time during a dual task paradigm were recorded before training, as well as 1 week and 1 month after the end of the program. Both groups showed significant improvements on the CB&M, as well as decreased reaction times with training. Postural sway during quiet stance did not change significantly. 相似文献
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Tang NK Salkovskis PM Poplavskaya E Wright KJ Hanna M Hester J 《Behaviour research and therapy》2007,45(12):2821-2835
Many patients with chronic pain also exhibit elevated levels of health anxiety. This study examined the effect of health anxiety on the use of safety-seeking behaviors (SSBs) in pain-provoking situations. Participants were 20 chronic back pain patients with high health anxiety (Group H), 20 with low health anxiety (Group L) and 20 pain-free controls (Group C). Two physical tasks were video recorded, and compared both for overt pain behavior (identified by blind observers following a standardized procedure) and for the occurrence of SSB (identified by showing the participants video playback and asking them to specify motivation for all actions/behaviors displayed during the tasks). While there were no differences in the display of overt pain behaviors, Group H deployed a greater number of SSBs than Groups L and C. This finding held true for both tasks and remained significant when concurrent pain and mood ratings were statistically controlled for. SSB was correlated with catastrophizing thoughts but not pain intensity; pain intensity was correlated with overt pain behavior but not catastrophizing. Taken together, these findings suggest that SSB is distinct from overt pain behavior and may be a defining characteristic of chronic pain patients reporting high levels of health anxiety. 相似文献
819.
Following a 1986 study reporting a predominance of ambivalent attachment among insecure Sapporo infants, the generalizability of attachment theory and methodologies to Japanese samples has been questioned. In this 2nd study of Sapporo mother-child dyads (N=43), the authors examined attachment distributions for both (a) child, based on M. Main and J. Cassidy's (1988) 6th-year reunion, and (b) adult, via the Adult Attachment Interview (AAI). In contrast to the previous Sapporo study, children's 3-way or "organized" distribution did not differ from the global distribution. However, when the disorganized-controlling (D) and cannot classify (CC) categories were applied to the analyses, a high proportion of D/CC children was found. Comparable analyses for Japanese mothers, including the unresolved/disorganized (U) and CC categories, were found to deviate slightly from the global norm. However, turning from global distributions to mothers' AAI classification as related to their child's reunion classification, all matches were surprisingly close to those established worldwide. When, as is customary, mothers' U and CC classifications were combined (U/CC) and compared with the child's D and CC classifications (also customarily combined as D/CC), mothers' U/CC status strongly predicted child D/CC status (r=.60, d=1.50). Additionally, mothers' AAI subclassifications predicted child subclassifications. 相似文献
820.
The goal-based perspective of performance appraisals suggests that raters who pursue different goals give different performance ratings. Yet previous studies have not provided strong empirical evidence that there are different impacts of different goals on mean rating and discriminability, nor have they provided evidence of a goal-rating causality. The authors extend the literature by manipulating rater goals in the context of peer evaluations of graded group projects with a sample of 104 undergraduate students. They find that (a) pursuing a harmony goal increased mean rating and decreased discriminability, and (b) pursuing a fairness goal increased mean rating and decreased discriminability when the group projects had not ended and increased mean rating but did not change discriminability when the group projects had ended. 相似文献