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111.
现代医院人文关怀缺失的思考 总被引:16,自引:5,他引:11
科学技术的革命给医学事业带来了空前的发展机遇,也向广大医务工作者在精神、伦理、思想等方面提出了挑战.阐述了现代医院人文关怀缺失的主要表现,分析了医院人文关怀缺失产生的原因,并提出了相应的对策. 相似文献
112.
Mian-Li Ong Eric A. Youngstrom Jesselyn Jia-Xin Chua Tate F. Halverson Sarah M. Horwitz Amy Storfer-Isser Thomas W. Frazier Mary A. Fristad L. Eugene Arnold Mary L. Phillips Boris Birmaher Robert A. Kowatch Robert L. Findling the LAMS Group 《Journal of abnormal child psychology》2017,45(3):611-623
We compared 2 rating scales with different manic symptom items on diagnostic accuracy for detecting pediatric bipolar spectrum disorder (BPSDs) in outpatient mental health clinics. Participants were 681 parents/guardians of eligible children (465 male, mean age = 9.34) who completed the Parent General Behavior Inventory-10-item Mania (PGBI-10 M) and mania subscale of the Child and Adolescent Symptom Inventory-Revised (CASI-4R). Diagnoses were based on KSADS interviews with parent and youth. Receiver operating characteristic (ROC) analyses and diagnostic likelihood ratios (DLRs) determined discriminative validity and provided clinical utility, respectively. Logistic regressions tested for incremental validity in the CASI-4R mania subscale and PGBI-10 M in predicting youth BPSD status above and beyond demographic and common diagnostic comorbidities. Both CASI-4R and PGBI-10 M scales significantly distinguished BPSD (N = 160) from other disorders (CASI-4R: Area under curve (AUC) = .80, p < 0.0005; PGBI-10 M: AUC = 0.79, p < 0.0005) even though scale items differed. Both scales performed equally well in differentiating BPSDs (Venkatraman test p > 0.05). Diagnostic likelihood ratios indicated low scores on either scale (CASI: 0–5; PGBI-10 M: 0–6) cut BPSD odds to 1/5 of those with high scores (CASI DLR- = 0.17; PGBI-10 M DLR- = 0.18). High scores on either scale (CASI: 14+; PGBI-10 M: 20+) increased BPSD odds about fourfold (CASI DLR+ = 4.53; PGBI-10 M DLR+ = 3.97). Logistic regressions indicated the CASI-4R mania subscale and PGBI-10 M each provided incremental validity in predicting youth BPSD status. The CASI-4R is at least as valid as the PGBI-10 M to help identify BPSDs, and can be considered as part of an assessment battery to screen for pediatric BPSDs. 相似文献
113.
2008年是我国改革开放30周年,恰巧又是<周易研究>学刊创办20周年和山东大学周易研究中心(现易学与中国古代哲学研究中心)成立20周年. 1987年12月5日,经国家教委批准,当时的山东大学哲学系周易研究室以山东省政府划拨的3万元经费,在当时山东省接兵站召开了建国后"首届国际周易学术研讨会",共有6个国家的200余名代表参加. 相似文献
114.
This study investigated whether older adults could acquire the ability to perform 2 cognitive operations in parallel in a paradigm in which young adults had been shown to be able to do so (K. Oberauer & R. Kliegl, 2004). Twelve young and 12 older adults practiced a numerical and a visuospatial continuous memory updating task in single-task and dual-task conditions for 16 to 24 sessions. After practice, 9 young adults were able to process the 2 tasks without dual-task costs, but none of the older adults had reached the criterion of parallel processing. The results suggest a qualitative difference between young and older adults in how they approach dual-task situations. 相似文献
115.
116.
Giorgina?Barbara?PiccoliEmail author Laura?Sacchetti Laura?Verzè Franco?Cavallo Working group of the students of the Torino Medical School 《Philosophy, ethics, and humanities in medicine : PEHM》2015,10(1):13
Organ trafficking is officially banned in several countries and by the main Nephrology Societies. However, this practice is widespread and is allowed or tolerated in many countries, hence, in the absence of a universal law, the caregiver may be asked for advice, placing him/her in a difficult balance between legal aspects, moral principles and ethical judgments.In spite of the Istanbul declaration, which is a widely shared position statement against organ trafficking, the controversy on mercenary organ donation is still open and some experts argue against taking a negative stance. In the absence of clear evidence showing the clinical disadvantages of mercenary transplantation compared to chronic dialysis, self-determination of the patient (and, with several caveats, of the donor) may conflict with other ethical principles, first of all non-maleficence. The present paper was drawn up with the participation of the students, as part of the ethics course at our medical school. It discusses the situation in which the physician acts as a counselor for the patient in the way of a sort of “reverse” informed consent, in which the patient asks advice regarding a complex personal decision, and includes a peculiar application of the four principles (beneficence, non-maleficence, justice and autonomy) to the donor and recipient parties. 相似文献
117.
Bartholomew of Constantinople Chairman Theodoros of Alexandria Theophilos of Jerusalem Irinej of Serbia Daniel of Romania Chrysostomos of Cyprus Ieronymos of Athens All Greece Sawa of Warsaw All Poland Anastasios of Tirana Durres All Albania Rastislav of Presov the Czech Lands Slovakia 《The Ecumenical review》2016,68(2-3):291-304
118.
James A. Naifeh PhD Matthew K. Nock PhD Robert J. Ursano MD Patti L. Vegella MS Pablo A. Aliaga MS Carol S. Fullerton PhD Ronald C. Kessler PhD Christina L. Wryter BA Steven G. Heeringa PhD Murray B. Stein MD MPH the Army STARRS Collaborators 《Suicide & life-threatening behavior》2017,47(5):589-602
This prospective cohort study used administrative data from the Army Study to Assess Risk and Resilience in Servicemembers to examine associations between neurocognitive functioning and subsequent suicidal events among Regular Army enlisted soldiers during the years 2004–2009. Cases were all soldiers who completed the Army's Automated Neuropsychological Assessment Metrics (ANAM) computerized testing battery prior to documented suicide attempt (n = 607), ideation (n = 955), or death (n = 57). Controls were an equal‐probability sample of 9,893 person‐months from other soldiers. Exploratory factor analysis of five ANAM tests identified a general neurocognitive factor that excluded the mathematic processing test (MTH). When examined separately in logistic regression analyses that controlled for sociodemographics and prior mental health diagnosis, both the general neurocognitive factor (logit [β] = ?.197 to ?.521; p < .01) and MTH (β = ?.024 to ?.064; p < .05) were associated with all outcomes. When both predictors were examined simultaneously, the general neurocognitive factor continued to be associated with all outcomes (β = ?.164 to ?.417; p < .05) and MTH continued to be associated with suicide attempt (β = ?.015; p = .046) and ideation (β = ?.014; p = .018). These small but robust associations suggest that future research must continue to examine the extent to which objective neurocognitive tests may enhance understanding and prediction of suicide risk. 相似文献
119.
Mental Disorders,Comorbidity, and Pre‐enlistment Suicidal Behavior Among New Soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) 下载免费PDF全文
Matthew K. Nock PhD Robert J. Ursano MD Steven G. Heeringa PhD Murray B. Stein MD MPH Sonia Jain PhD Rema Raman PhD Xiaoying Sun MS Wai Tat Chiu AM Lisa J. Colpe PhD MPH Carol S. Fullerton PhD Stephen E. Gilman ScD Irving Hwang MA James A. Naifeh PhD Anthony J. Rosellini PhD Nancy A. Sampson BA Michael Schoenbaum PhD Alan M. Zaslavsky PhD Ronald C. Kessler PhD the Army STARRS Collaborators 《Suicide & life-threatening behavior》2015,45(5):588-599
We examined the associations between mental disorders and suicidal behavior (ideation, plans, and attempts) among new soldiers using data from the New Soldier Study (NSS) component of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS; N = 38,507). Most new soldiers with a pre‐enlistment history of suicide attempt reported a prior mental disorder (59.0%). Each disorder examined was associated with increased odds of suicidal behavior (ORs = 2.6–8.6). Only PTSD and disorders characterized by irritability and impulsive/aggressive behavior (i.e., bipolar disorder, conduct disorder, oppositional defiant disorder, and attention‐deficit/hyperactivity disorder) predicted unplanned attempts among ideators. Mental disorders are important predictors of pre‐enlistment suicidal behavior among new soldiers and should figure prominently in suicide screening and prevention efforts. 相似文献
120.
An Examination of Potential Misclassification of Army Suicides: Results from the Army Study to Assess Risk and Resilience in Servicemembers 下载免费PDF全文
Kenneth L. Cox MD MPH Matthew K. Nock PhD Quinn M. Biggs PhD MPH Jennifer Bornemann MSSW Lisa J. Colpe PhD MPH Catherine L. Dempsey PhD MPH Steven G. Heeringa PhD James E. McCarroll PhD MPH Tsz Hin Ng MPH Michael Schoenbaum PhD Robert J. Ursano MD Bailey G. Zhang MS David M. Benedek MD the Army STARRS Collaborators 《Suicide & life-threatening behavior》2017,47(3):257-265
Debate continues about the accuracy of military suicide reporting due to concerns that some suicides may be classified as accidents to minimize stigma and ensure survivor benefits. We systematically reviewed records for 998 active duty Army deaths (510 suicides; 488 accident, homicide, and undetermined deaths; 2005‐2009) and, using research criteria, reclassified 8.2% of the nonsuicide cases to definite suicide (1), suicide probable (4), or suicide possible (35). The reclassification rate to definite suicide was only 0.2% (1/488). This low rate suggests that flagrant misclassification of Army deaths is uncommon and surveillance reports likely reflect the “true” population of Army suicides. 相似文献