Type D personality,but not Type A behavior pattern,is associated with coronary plaque vulnerability

Personality traits are associated with major adverse coronary events (MACE) in patients with coronary artery disease (CAD). However, the link between personality traits and intravascular morphology in CAD patients is poorly understood. This study investigated the relationship between personality traits, specifically Type A behavior pattern and Type D personality, and plaque vulnerability. After adjustment for demographic and clinical factors, multivariable regression analysis showed no association between Type A and optical coherence tomography indices. However, Type D personality was independently associated with lipid plaque, thin cap fibroatheroma (TCFA), and fibrous cap thickness. More specifically, negative affectivity of Type D was related to lipid plaque, TCFA and fibrous cap thickness, and social inhibition was associated with plaque rupture. Our results show that Type D personality was associated with plaque vulnerability, independent of clinical factors. Measurement of negative affectivity and social inhibition will increase our understanding of the progressive phase of the plaque vulnerability, which can contribute to the early identification of high risk patients and reduce the incidence of MACE.     

U.K. consumers' perceived risk of buying products from emerging economies: A moderated mediation model

Although considerable research has been conducted on consumer attitude towards foreign products, most of these studies focus on the attitude of products from Western developed countries. Our study intends to investigate the effects of consumers' national identification and culture sensitivity on their perceived risk of buying products from Eastern developing countries. Especially, this study advances the literature by identifying the mediation effect of consumer ethnocentrism and the moderating effect of consumer value consciousness. Taking China and India as focal emerging economies, the consumer survey (n = 308) in the United Kingdom produced the following results. First, U.K. consumers' national identification is positively related to their perceived risk of buying Eastern products through consumer ethnocentrism, whereas their cultural sensitivity has a negative relationship. Second, the effect of consumer ethnocentrism on the perceived risk of buying Eastern products is moderated by consumer value consciousness. Third, value consciousness also attenuates the indirect relationships between national identification or cultural sensitivity and perceived risk via consumer ethnocentrism.     

Visual attention shift to printed words during spoken word recognition in Chinese: The role of phonological information

The aim of this study was to investigate the extent to which phonological information mediates the visual attention shift to printed Chinese words in spoken word recognition by using an eye-movement technique with a printed-word paradigm. In this paradigm, participants are visually presented with four printed words on a computer screen, which include a target word, a phonological competitor, and two distractors. Participants are then required to select the target word using a computer mouse, and the eye movements are recorded. In Experiment 1, phonological information was manipulated at the full-phonological overlap; in Experiment 2, phonological information at the partial-phonological overlap was manipulated; and in Experiment 3, the phonological competitors were manipulated to share either fulloverlap or partial-overlap with targets directly. Results of the three experiments showed that the phonological competitor effects were observed at both the full-phonological overlap and partial-phonological overlap conditions. That is, phonological competitors attracted more fixations than distractors, which suggested that phonological information mediates the visual attention shift during spoken word recognition. More importantly, we found that the mediating role of phonological information varies as a function of the phonological similarity between target words and phonological competitors.     

干细胞研究中的多向立体思维方法

干细胞研究取得了里程碑式的进展,在临床疾病的预防和治疗中具有广阔的应用前景,这些研究成果凝聚了各国研究人员的集体智慧,多向立体思维方法得到了充分体现。     

全球治理:公民社会与宗教发展

在全球化的进程当中,宗教发展已经很难“遁世”、“隐居”,更不可能独善其身。虽然现代化是推动全球化发展的重要力量,但在现代化之前,早已出现了全球化的基督宗教、伊斯兰教、佛教等跨国界发展。从治理的向度来说,宗教发展融合了国家、市场、社会的对立关系,重新创造性的结合国家、市场与社会,引导世界走向善治。而宗教组织要寻求全球性的发展甚至推动全球公民社会的实现,就有赖于跨国社会运动组织的发展。因此,如果20世纪的政治遗产是民族国家组成的世界体系,那么21世纪就是建构一个善治的全球公民社会。     

医务人员对医患共同决策辅助工具的态度研究

循证医学实践要求在临床决策中整合最佳临床研究证据、医者经验、患者自身价值取向与所处具体临床情境。使用决策辅助工具进行医患共同决策可作为一种实践模式,有必要了解来自临床一线医务人员的态度。采用多阶段分层抽样方法,于国内11省及3个直辖市共32个城市的51所二级和三级医院发放问卷,探究使用决策辅助工具促进共同决策实施的可能性。对1 212份问卷的分析显示,73.2%的医务人员认可患者是高质量临床决策的参与主体;支持患者获知诊疗决策依据、认同患者决策辅助工具的积极效果与高学历等正相关。     

诉讼实践视野下病历真实性的认定

在医疗损害纠纷诉讼实践中,经常发生由于医疗机构提供的病历存在真实性问题导致鉴定不能,最后被法院直接推定存在过错的情形。该文在诉讼实践视野下,通过分析病历出现真实性问题的原因,厘清病历瑕疵与真实性问题的区别,并建议从证据学角度进行严格审查或委托专业机构对病历真实性进行鉴定,但同时可能会增加诉讼的成本,耗费诉讼的时间,使医疗损害案件的审理更加复杂、漫长,甚至会继续激化医患矛盾。从长远看,就需要国家相关部门对医疗机构病历真实性制定统一的规范及认定标准,既做到专业、公平、合法,又能简化诉讼程序。     

中医精髓的真知灼见 兼容并包的致胜之道——《你真的了解中医吗》评介

五一期间,拜读何裕民先生的新书《你真的了解中医吗》,不仅深悟中医治疗之精髓,更佩服他的真知灼见和坦荡心胸。尤其对"西医让人明明白白死,中医令人糊里糊涂活"之辨感触良多。大众对医疗既强烈期盼,又不寒而栗,因此有中西医孰高孰低之争论。就其本质而言,在人类向死而生的旅途中,医学天生就是一门有缺憾的科学技术。何教授以他广博的学识、独特的视角、深厚的知识储备,结合丰富的临床经验,从哲学、医学、科学以及历史等多角度对