COPD病理机制的认识进展

慢性阻塞性肺疾病(COPD)是一个古老的疾病,构成人类严重的疾病负担.随着医学的进步,近50年COPD的概念不断演化,病因机制得到进一步的揭示,其中感染发挥重要作用,目前趋向性地认为COPD是一种多脏器的疾病,涉及肌肉功能障碍、营养不良、能量代谢异常等,同时也涉及严重的心理的紊乱.     

基于认知机制的有条件自动驾驶接管中的人因问题

自动驾驶能在很大程度上缓解现代交通问题并提升驾驶舒适度。有条件自动驾驶下, 驾驶员可执行非驾驶相关任务但需要在系统无法处理的状况下接管车辆。在这一关键过程中, 驾驶员需要进行注意转换并获得情境意识以成功接管。已有研究表明, 接管请求、非驾驶相关任务、驾驶情景及驾驶员因素是影响接管过程重要因素。未来可从认知机制角度研究各因素对接管过程产生的影响, 以及探究接管过程中各因素之间可能存在的交互作用。     

变性术后患者心理状况的影响因素分析及对策

变性术后的患者是个特殊的弱势群体,心理问题非常突出,它是生理、个人、家庭、社会等多种因素交互影响的结果;因此,通过社会、家庭及个体的共同努力,帮助其建立良好的个体心理模式,稳定其心理状态,可促进其心理的健康发展,这对于变性手术的成功和帮助变性后患者重新走向社会有重要意义.     

Frustration and instrumentality of aggression

The influence of two different reinforcers of aggression was investigated: Frustration (intrinsic primary reinforcement) and instrumental value of aggression (extrinsic primary reinforcement). In the first part of the experiment frustration was manipulated on two levels by having the stooge interfere very often or seldom in the ?building a village' task of the subject. In the second part of the study the stooge had to judge distances in traffic while the subject was allowed to give him electrical shocks in order to startle and hinder the stooge in his estimation task. The aggression score of the subject was formed by the number and the intensity of the shocks delivered. Instrumentality of aggression was manipulated on two levels by indicating or not that the subjects could earn more money the more and stronger they shocked their partner. Confirming the predictions, significantly more aggression was expressed when this could lead to earning more money than in those conditions where this was not the case. Also confirming predictions, the impact of instrumentality on aggression was stronger than the influence of frustration. Frustration did not lead to a significant increase in the level of aggression.     

Group boundary permeability moderates the effect of a dependency meta‐stereotype on help‐seeking behaviour

Previous studies have found that when low‐status group members are aware that their in‐group is stereotyped as dependent by a specific out‐group (i.e. a dependency meta‐stereotype is salient), they are reluctant to seek help from the high‐status out‐group to avoid confirming the negative meta‐stereotype. However, it is unclear whether low‐status group members would seek more help in the context of a salient dependency meta‐stereotype when there is low (vs. high) group boundary permeability. Therefore, we conducted two experiments to examine the moderating effect of permeability on meta‐stereotype confirmation with a real group. In study 1, we manipulated the salience of the dependency meta‐stereotype, measured participants' perceived permeability and examined their help‐seeking behaviour in a real‐world task. Participants who perceived low permeability sought more help when the meta‐stereotype was salient (vs. not salient), whereas participants who perceived high permeability sought the same amount of help across conditions. In study 2, we manipulated the permeability levels and measured the dependency meta‐stereotype. Participants who endorsed a high‐dependency meta‐stereotype sought more help than participants who endorsed a low‐dependency meta‐stereotype; this effect was particularly strong in the low‐permeability condition. The implications of these results for social mobility and intergroup helping are discussed.     

Self-efficacy,planning, and preparatory behaviours as joint predictors of physical activity: A conditional process analysis

Objective: Planning can bridge the gap between intentions and action, but what bridges the gap between planning and action? This study helps to answer the question by disentangling the interrelationships between self-efficacy, planning and preparatory behaviours in predicting physical activity. Preparatory behaviours are tested as a working mechanism of planning. Moreover, it is tested whether the utility of preparatory behaviours depends on an individual’s level of self-efficacy.

Methods: A survey assessed planning, self-efficacy and preparatory behaviours for physical activity. Adults (N = 166) provided data at two measurement points. In a longitudinal model, preparatory behaviours were specified as a mediator between planning and physical activity. Self-efficacy was specified as a possible moderator at two points in the model.

Results: Preparatory behaviours mediated the relationship between planning and physical activity. An interaction between self-efficacy and preparatory behaviours on physical activity was found, indicating that individuals with low self-efficacy beliefs were more active if they engaged more frequently in preparatory behaviours.

Conclusion: Planning seems to stimulate preparatory behaviours, which in turn make future physical activity more likely. Furthermore, as performing preparatory behaviours represent a step forward towards the enactment of behavioural goals, preparatory behaviours may be particular beneficial for individuals afflicted by self-doubts regarding physical activity.     

为医学"会诊”-当代医学的主要缺憾

现代医学发展迅速,方兴未艾,由于技术主义抬头,认识局限与医学发展水平的制约。出现某些缺憾性倾向。主要有：破足的医学、分裂的医学。被动的医学、治标的医学、人性淡漠的医学、不公正的医学等。在对上述进行分析与评论的基础上,对医疗服务变革真挚进行了预测与展望。