围绕ICU的几个问题的思考

ICU是现代医学中的新兴事物,发挥着重要作用,但是围绕ICU方方面面问题,无论是业界还是公众还有许多争论及认识上的误区,有待研究探讨,比如ICU是否是一个真正意义上的独立学科?ICU的业态形式?ICU一定是高投入高装备吗?ICU注定是高消费?ICU有人文伦理缺失的特权吗?本文试图对这些问题给予一点作者的观察和己见。     

Sales manager cost control engagement: antecedents and performance implications

Many organizations face competing agendas by which they are expected to simultaneously grow sales output while controlling associated costs. At the interface of this organizational pressure and the sales force’s implementation of such initiatives is the sales manager. However, questions with significant implications remain regarding how a sales manager’s requisite engagement with cost control affects sales performance. To address this issue, the authors conceptualize and operationalize the notion of sales manager cost control engagement. Results from a survey of 178 business-to-business sales managers show the antecedent and consequence effects of sales manager cost control engagement. A variety of organizational factors are shown to effectively direct the sales manager’s attention to cost control, which in turn has a positive impact on cost-related sales performance. These findings add to an emergent body of research aimed at understanding key skills required of sales managers for driving sales performance as well as provide a novel perspective for sales managers to consider when balancing pressures between cost inputs and sales outputs. Several theoretical and managerial implications are offered, as are future research directions.     

Do egalitarians always help the disadvantaged more than the advantaged? Testing a value‐norm conflict hypothesis in Malaysia

Do egalitarians always express greater compassion toward the disadvantaged than toward the advantaged? A closer look at existing scholarship on the topic suggests that they likely do. Here, we investigated whether such tendency is also apparent within interdependent, high power distance cultures where the high‐status privilege prevails. Given the emphasis on harmony in social relations in interdependent cultures, we reasoned that egalitarians might experience a dissonance between their private equity values and a societal norm prescribing high‐status privilege, which we refer to as the value‐norm conflict. We therefore proposed and found evidence in Malaysia (N = 273) that egalitarians succumbed to the normative high‐status privilege in their culture: They displayed greater compassion towards higher than lower status victims, but only when the political cost of doing so was low. Interestingly, anti‐egalitarians displayed equitable levels of compassion for high‐ and low‐status victims, but only when the political cost for taking such action also was low. Hence, we show that even egalitarians can, at times, favor the privileged and that anti‐egalitarians can act equitably, so long as the political cost of doing so is trivial for them.     

Word order in sentence processing: an experimental study of verb placement in German

We examine the question of whether the human comprehension device exhibits word-order preferences during on-line sentence comprehension. The focus is on the positioning of finite verbs and auxiliaries relative to subjects and objects in German. Results from three experiments (using self-paced reading and event-related brain potentials) show that native speakers of German prefer to process finite verbs in second position (i.e., immediately after the subject and before the object). We will account for this order preference in terms of the relative processing costs associated with SV_fO and SOV_f. Our finding that word-order preferences play an important role in the on-line comprehension of German sentences is compatible with results from previous studies on English and other languages.     

The effects of response cost in the treatment of aberrant behavior maintained by negative reinforcement

Positive reinforcement contingencies can sometimes be used to decrease problem behavior maintained by negative reinforcement (e.g., escape). In the current study, we evaluated the extent to which response cost (i.e., contingent removal of a preferred stimulus) would compete with the negative reinforcer maintaining destructive behavior. The response cost contingency reduced destructive behavior by 87% from baseline levels even though the negative reinforcement contingency (i.e., escape) remained in place.     

Psychometric adaptation of the driving cost and benefit scale in Chinese drivers

The present study aimed to adapt the Driving Cost and Benefit Scale (DCBS, Taubman-Ben- Ari, 2008) to Chinese drivers and examine its relationships with driving style and traffic violations. Nine hundred drivers aged 18 to 60 years were asked to complete the DCBS and the Multidimensional Driving Style Inventory. The results of exploratory factor analysis (n = 429) and confirmatory factor analysis (n = 429) yielded a 36-item scale with satisfactory reliability. The Chinese version of the DCBS contains seven factors, including three driving cost factors (damage to self-esteem, life endangerment and distress) and four driving benefit factors (impression management, sense of control, thrill and pleasure). Significant associations between the DCBS-C factors and driving styles and traffic violations show that the discriminant validity of the scale is acceptable. Moreover, the driving cost factor of damage to self-esteem and the driving benefit factor of thrill both contributed to drivers’ traffic violations and crashes. The findings show that the reliability and validity of the Chinese version of the DCBS are acceptable, and it can be used as a tool to measure driving motivation in China.     

Sunk cost of local elected representatives in situation of fiscal competition: An example of escalating commitment

Introduction

Competition between French local communities to build infrastructures to attract enterprises and residents could sometimes result in irrational public spending.

The sunk cost effect across species: A review of persistence in a course of action due to prior investment

The sunk cost effect is the bias or tendency to persist in a course of action due to prior investments of effort, money or time. At the time of the only review on the sunk cost effect across species (Arkes & Ayton, 1999), research with nonhuman animals had been ecological in its nature, and the findings about the effect of past investments on current choice were inconclusive. However, in the last decade a new line of experimental laboratory‐based research has emerged with the promise of revolutionizing the way we approach the study of the sunk cost effect in nonhumans. In the present review we challenge Arkes and Ayton's conclusion that the sunk cost effect is exclusive to humans, and describe evidence for the sunk cost effect in nonhuman animals. By doing so, we also challenge the current explanations for the sunk cost effect in humans, as they are not applicable to nonhumans. We argue that a unified theory is called for, because different independent variables, in particular, investment amount, have the same influence on the sunk cost effect across species. Finally, we suggest possible psychological mechanisms shared across different species, contrast and depreciation, that could explain the sunk cost effect.     

策略转换的成本与顺序效应

灵活的策略转换是个体有效地解决问题的重要条件。策略转换需要成本已得到大量证明,但策略转换成本是否为对称转换成本尚无定论。基于已有研究,对策略转换中存在策略顺序困难效应与较差策略顺序调节效应两种典型的顺序效应进行了具体介绍。在此基础上提出了不对称策略转换成本可能是对称转换成本与策略顺序困难效应之和的假设,并进而提出设想:可通过操纵时间变量来分离策略顺序困难效应与较差策略顺序调节效应。此外,从策略转换成本的角度创新地阐释了策略选择的惰性与倒退现象。