冠状动脉分流术后再狭窄研究中的科学理念

随着冠状动脉分流术(CoronaryArteryBypassGrafting,CABG)的广泛开展,CABG术后再狭窄(Restenosis,RS)成为我们面对的一个重要问题。CABG术后RS的研究需要遵循综合、全面、均衡的科学理念。只有在综合、全面、均衡的科学理念指导下,才能加深人们对该问题的认识,增进研究的科学性,取得更佳的研究成果。     

对医学院校科技成果转化措施的探讨

针对目前我国医学院校科技成果转化落后的现状,分析导致医学院校科技成果转化困难的原因.总结出,现有医学院校体制不适应、内部动力不足和资金不足等三个制约科技成果转化的因素,提出了具体的促进措施:加强政策导引,完善投入技术市场、扶植和培育风险投资中介机构、健全机制,增加内动力.     

Qualitative research in psychology: Attitudes of psychology students and academic staff

Qualitative research is experiencing a resurgence within the field of psychology. This study aimed to explore the range of attitudes towards qualitative research in psychology held by students and academics, using the model of attitudes by Eagly and Chaiken as a framework. Twenty‐one psychology students and academics were interviewed about their attitudes towards qualitative research. Interviews were transcribed and analysed using thematic analysis. While qualitative research was described as inherent to the psychology profession and useful for generating rich data, some participants felt that this approach was not well respected or considered as legitimate as quantitative methods. Reflecting common misperceptions about qualitative research, participants also expressed concerns that qualitative research was too subjective and had limited generalisability. Furthermore, some participants felt that they lacked the skills and confidence necessary to conduct qualitative research. Large investments in time and resources were identified as barriers to undertaking qualitative research. Identifying attitudes towards qualitative research provides a basis for future work in dispelling myths, promoting attitudinal change and increasing both the use and teaching of qualitative approaches in psychology.     

跨学科概念图创作能力与科学创造力的关系

采用科学领域的跨学科概念图创作任务, 探讨了跨学科概念图创作能力与科学创造力的关系。研究发现：（1）跨学科概念图创作能力与科学创造力显著正相关;（2）概念图创作的命题、交叉连接与创造力的流畅性、独创性、灵活性显著相关;交叉连接与独创性显著相关;（3）跨学科概念图创作能力的个体差异表现在科学创造力的各个方面。研究表明,跨学科概念图创作任务与科学创造力测验考察了学习者相似的心理能力;跨学科概念图创作不仅可以用于促进跨学科信息整合和知识建构,还可以作为理解学习者创造性思维能力的有效工具     

A multilevel framework for understanding relationships among traits,states, situations and behaviours

A conceptual and analytic framework for understanding relationships among traits, states, situations, and behaviours is presented. The framework assumes that such relationships can be understood in terms of four questions. (1) What are the relationships between trait and state level constructs, which include psychological states, the situations people experience and behaviour? (2) What are the relationships between psychological states, between states and situations and between states and behaviours? (3) How do such state level relationships vary as a function of trait level individual differences? (4) How do the relationships that are the focus of questions 1, 2, and 3 change across time? This article describes how to use multilevel random coefficient modelling (MRCM) to examine such relationships. The framework can accommodate different definitions of traits and dispositions (Allportian, processing styles, profiles, etc.) and different ways of conceptualising relationships between states and traits (aggregationist, interactionist, etc.). Copyright © 2007 John Wiley & Sons, Ltd.     

A (Post)Foundational Approach to the Philosophy of Science: Part II

Summary  This is a sequel to my paper, “Searching for a (Post)Foundational Approach to Philosophy of Science”, which appeared in an earlier issue of this Journal [Ginev 2001, Journal for General Philosophy of science 32, 27–37]. In the present paper I continue to scrutinize the possibility of a strong hermeneutics of scientific research. My aim is to defend the position of cognitive existentialism that combines the advocacy of science’s cognitive specificity and the rejection of any form of essentialism. A special attention will be paid to the notion of the thematizing project of scientific research.     

医生的探索与发现

临床工作中有着许多未知、疑难问题,这就是医生们探索与发现的起点。通过对桂希恩等多位医学专家临床探索发现事例的分析,得到许多启示,指出临床探索发现是一个系统的科学活动过程,也是临床决策的重要组成部分;找到客观存在的事物或规律,有利于疾病的诊治,充满了大医精诚精神;有利于人才培养,医学创新和进步,应予大力提倡和鼓励。     

Drive for thinness, affect regulation and physical activity in eating disorders: a daily life study

Using Ecological Momentary Assessment, the within patient associations between drive for thinness, emotional states, momentary urge to be physically active and physical activity were studied in 32 inpatients with an eating disorder. Participants received an electronic device and had to indicate at nine random times a day during 1 week their momentary drive for thinness, positive and negative emotional states and their urge to be physically active and physical activity. Multilevel analyses indicated that patients with higher mean levels for urge to be physically active were characterized by lower body mass index (BMI) and chronically negative affect whereas patients with higher mean levels for physical activity were characterized by lower BMI and higher dispositions for drive for thinness. In addition, within patient relations between drive for thinness and urge to be physically active were moderated by BMI and chronically negative affect whereas within patient relations between drive for thinness and physical activity were moderated by BMI. Finally, also positive emotional states were significantly associated with physical activity within patients. By using a daily process design, characteristics of physical activity were revealed that have not been identified with assessment methods that have a lower time resolution.     

胃肠道双重造影对胃肠道病变诊断的临床思维方法

从方法学原理的角度,通过对胃肠道双重造影征象分析和综合的辩证思维,经过整体和局部相结合,从一般到特殊,由现象到本质,全面客观,纵横联系的认识过程,探讨和研究胃肠道双重造影对胃肠道疾病诊断的科学思维方法,提高、改进影像科医生的临床思雏,对提高医疗水平有着重大的意义。     

浅析当前临床科学决策的几个影响因素

随着循证医学在我国的发展和"医疗举证责任倒置"等相关法律的实施,我国临床医生在进行诊治决策时已逐步向临床科学决策迈进。而防御性医疗、不健全的医疗制度及相关法律等却严重影响着这一科学决策的转变过程。只有有效解决了导致干扰科学决策的各种社会影响因素,如扩大基本医疗保险的覆盖率,实施医疗风险保险制度,提高医务人员认知和职业素质,保障行医安全等,临床科学决策的真正落实就大有希望。