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21.
卫生资源优化配置的伦理要求 总被引:2,自引:0,他引:2
蒋广根 《医学与哲学(人文社会医学版)》1999,20(8):12-13
卫生资源是稀缺资源,卫生资源只有优化配置,才能达到我们的医学目的。卫生资源的优化配置的以公平为优先,坚持公平和效率相结合的原则。就目前所存在的和我们的医学目的不相适应的卫生资源配置方式的现状和主要问题进行分析,并提出了相应的改进方法。 相似文献
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科学发明创造中, 人们往往对一个问题百思不得其解, 但在看到某一启发性事物(原型)时, 突然产生顿悟, 继而发现解决问题的新思路。本研究以科学发明创造问题为实验材料, 采取“先呈现问题、后呈现原型”和“先呈现原型、后呈现问题”两种范式, 探讨问题解决中顿悟的原型位置效应, 并采用fMRI技术记录大脑的BOLD信号变化。结果发现:行为结果上, “问题在先”条件下正确率显著高于“原型在先”条件; 大脑激活结果上, 问题先导条件下的原型启发的大脑机制主要表现为左侧颞中回(left middle temporal gyrus)和左侧额中回(left middle frontal gyrus)的显著激活, “原型在先”条件下, 主要激活左侧扣带回(left cingulate gyrus)、左侧中央前回(left middle frontal gyrus)。 相似文献
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Xinzhuo Zou Xiuyun Lin Yongqiang Jiang Jinni Su Shaozheng Qin Zhuo Rachel Han 《Family process》2020,59(4):1755-1772
Three-generation households that include parents and grandparents raising children together have become increasingly common in China. This study examined the relations among depressive symptoms, parenting stress, and caregiver–child relationships in the mother–grandmother dyadic context. Participants were mothers and grandmothers from 136 three-generation households. Results from Actor–Partner Interdependence Mediation Modeling indicated that mothers’ depressive symptoms were indirectly related to mother–child conflict/closeness through own parenting stress; grandmothers’ depressive symptoms were indirectly related to grandmother–child conflict through own parenting stress. Mothers’ depressive symptoms were indirectly related to grandmothers’ conflict with children through grandmothers’ parenting stress, and grandmothers’ depressive symptoms were indirectly related to mothers’ conflict/closeness with children through mothers’ parenting stress. The relation between mothers’ parenting stress and mother–child closeness was stronger than the relation between grandmothers’ parenting stress and grandmother–child closeness. Findings highlight the implications of using a family system perspective and the dyadic approach in understanding and improving family functioning in Chinese three-generation households. 相似文献
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This study examined (1) the relative prevalence of childhood abuse and other pathological childhood experiences in China reported by outpatients with borderline personality disorder (BPD), with other personality disorders, and without personality disorders; and, (2) whether the primary predictors of BPD in North America are associated with the development of BPD in China. The childhood experiences of 203 outpatients with BPD, 109 outpatients with other personality disorders, and 70 outpatients without Axis II diagnoses were assessed with the Chinese version of the Childhood Experience of Care and Abuse Questionnaire (CECA.Q). Patients with BPD reported significantly more physical, emotional, and sexual abuse than either comparison group. Four types of childhood experiences were significant predictors of BPD: maternal neglect, paternal antipathy, sexual abuse, and maternal physical abuse. The findings suggest that maternal physical abuse is as strong a predictor of BPD in China as sexual abuse, a finding not replicated in North America. 相似文献
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In this research we examine the effect of adding a food topping to the base food on consumers' calorie estimation and consumption of the augmented food (base food plus topping). We show that consumers underestimate the calorie content of augmented food with an unhealthy base, especially when the topping is healthy. However, consumers are less likely to underestimate the calorie content of augmented food with a healthy base, regardless of whether the topping is healthy or unhealthy. Further, we show that adding a healthy topping to an unhealthy base makes consumers not only underestimate the calorie content but also eat more of the augmented food. 相似文献
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This paper reports two studies: Study 1 aimed to evaluate respective modified versions of existing scales of psychological capital (PsyCap) and study engagement (SE), and to test the reciprocal relationship between PsyCap and SE; Study 2 aimed to test intrinsic motivation as a mediator between PsyCap and SE. A two-wave cross-lagged design was adopted in Study 1 with a matched sample of 103 students, with 4 months apart. With confirmatory factor analyses, the results supported the construct validity of a higher-order model of PsyCap (PsyCap overall) and of study engagement comprising dedication, absorption and vigor. Further, the reciprocal relationship between PsyCap and SE was demonstrated. Results of Study 2 among 100 university students showed that intrinsic motivation measured at time 2 was a significant mediator between time 1 PsyCap and time 2 SE. 相似文献
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Jiang Yanping Li Xiaoming Harrison Sayward E. Zhang JiaJia Qiao Shan Zhao Junfeng Zhao Guoxiang 《Journal of child and family studies》2022,31(4):1094-1105
Journal of Child and Family Studies - The present study aimed to examine the efficacy of the Child-Caregiver-Advocacy Resilience (ChildCARE) intervention, a multilevel resilience-based psychosocial... 相似文献
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In the attentional boost effect, participants encode images into memory as they perform an unrelated target-detection task. Later memory is better for images that coincided with a target rather than a distractor. This advantage could reflect a broad processing enhancement triggered by target detection, but it could also reflect inhibitory processes triggered by distractor rejection. To test these possibilities, in four experiments we acquired a baseline measure of image memory when neither a target nor a distractor was presented. Participants memorized faces presented in a continuous series (500- or 100-ms duration). At the same time, participants monitored a stream of squares. Some faces appeared on their own, and others coincided with squares in either a target or a nontarget color. Because the processes associated with both target detection and distractor rejection were minimized when faces appeared on their own, this condition served as a baseline measure of face encoding. The data showed that long-term memory for faces coinciding with a target square was enhanced relative to faces in both the baseline and distractor conditions. We concluded that detecting a behaviorally relevant event boosts memory for concurrently presented images in dual-task situations. 相似文献