UpToDate数据库在临床思维培养中的应用——以泌尿外科规范化培训为例

通过对基于循证医学理念的二级数据库(UpToDate)的功能、优缺点,以及在住院医师规范化培训中的应用进行总结,以泌尿外科规范化培训为例,探索并思考如何利用有效的数字化医学资源,持续地提升临床思维的培训质量,包括教学内容的准确与规范、专业知识结构体系构建、循证医学方式的临床决策选择等一系列提高临床思维能力的问题,使规范化培训多样化、形象化、真实化。通过反复的实践教学,逐步建立独立解决问题的能力,以期同质化培养有岗位胜任能力的住院医生。     

Unbalanced triangle in the social dilemma of trust: Internet studies of real‐time,real money social exchange between China,Japan, and Taiwan

Using a dyadic game theory paradigm, three experiments on the social dilemma of trust were conducted over the Internet in real time, involving real money. It was predicted and found that in‐group favouritism in trusting behaviour was contingent on historical relationships between societies. In the China–Japan experiment, mainland Chinese but not Japanese trusted and made fair allocations to in‐group members more than out‐group members, and out‐group trust was best predicted by positive stereotypes of the out‐group for Chinese and identity for Japanese. In the China–Taiwan experiment, Taiwanese but not Mainland Chinese trusted in‐group members more than out‐group members, and in‐group trust for Taiwanese was best predicted by perceptions of current realistic threats. In the Taiwan–Japan experiment, there were slight in‐group favouring tendencies in trust, and positive stereotypes of the out‐group were the best predictors of out‐group trust. Japanese were unique in not displaying in‐group favouring behaviour at all, whereas both Chinese and Taiwanese were context specific in their in‐group favouritism. Stereotypes, social identities, perceptions of realistic threat, and historical anger made significant contributions to predicting trusting behaviour, but overall these survey measures only accounted for small and inconsistent amounts of variance across the three experiments.     

探测金星的历程(三)

美国对金星的探测美国于1961年7月22日发射“水手1号”金星探测器,升空不久因偏离航向,只好自行引爆。 1962年8月27日,美国的“水手2号”金星探测器发射成功。同年12月14日,“水手2号”从距金星34800千米处飞过,探测了金星的大气温度, 揭开了人类探测金星的序幕。1962年8月27日发     

运用联结主义模型研究知觉边界效应问题

运用了联结主义理论中的级连相关模型,以连续XOR问题为实例,研究了心理学中的知觉边界效应问题。实验结果表明,联结主义模型可以对知觉边界效应进行模拟,表征不同知识结构的神经网络对于连续XOR问题的知觉边界效应没有显著差异。     

基于潜在类别分析的6~15岁儿童平衡秤任务认知规则探索

本研究使用自编平衡秤测验测试468名6~15岁儿童,通过潜在类别分析对认知规则进行分类。结果发现,被试使用了规则Ⅰ、规则Ⅰ'、规则Ⅱ、补偿规则、规则Ⅳ、距离优势规则等六种规则;6~9岁儿童主要使用规则Ⅰ;10~13岁儿童主要使用补偿规则;14岁以上儿童主要使用规则Ⅳ;13岁到14岁之间,使用规则Ⅳ的儿童数量呈跳跃式增加。与规则评估技术相比,潜在类别分析用于认知规则研究具有明显优势,最后对运用此方法的前提假设与局限进行了讨论。     

学习不良儿童的家庭资源对其认知发展、学习动机的影响

运用认知测验法和问卷法,综合考察了１６７中学习不良儿童和１６１名一般儿童的家庭 资料对认知发展、学习以机的影响。表明：学习不良儿童的家庭资源、学习动机和认知发展之间存在着因果关系,家族资源通过两种途径对认知发展发生作用,一是通过影响学习动机促进信知发展二是直接对认知发展发生作用。     

Cultural Differences in Preference for Entertainment Messages That Induce Mixed Responses of Joy and Sorrow

Two cross‐cultural studies were conducted to explore how affective states from viewing favorite entertainment messages vary as a function of culture. Koreans were more likely than U.S. Americans to prefer entertainment messages that induce conflicting responses (e.g., feeling positive and negative, laughing and crying). Furthermore, this cultural difference was larger for positively valenced (i.e., comedy) than for negatively valenced message (i.e., sad films). Naïve dialecticism held by East Asians that treats these contradictory responses as balance, harmony, and moderation was introduced as a plausible explanatory mechanism.     

The Relation of Career Adaptability to Work–Family Experience and Personal Growth Initiative Among Taiwanese Working Parents

This study aimed to explore the effect of career adaptability on 598 working parents in Taiwan. The results showed that career adaptability served an important role in moderating and mediating the effects between work–family conflict, work–family strength, and personal growth initiative.     

A Multi-Disciplinary Inquiry of Secular and Christian Approaches to Sex Education

Secular scholars have criticized Christian education and counseling on sex as restrictive, ineffective, and outdated. The authors of the current study explored both common non-Christian and Christian approaches to human sexuality with reference to overarching domains of religion, philosophy, psychology, sociology, and anthropology. Secular approaches were classified as the inward approach, the spatial approach, and the temporal approach, whereas Christian approaches were categorized as the traditional and the modern perspectives. Although Christian faith can be signified as a protective factor against casual and risky sexual behaviors, traditional Christian values should be reevaluated in favor of comprehensive Christian approaches to sexuality, which embrace sexual desires as divine gifts for completeness of humanity.