对于提高X线平片诊断准确率的思考

在临床实践中由于X线诊断方法具有操作简单方便、影像直观、空间及整体定位高及价格低廉等的优势,是其他影像检查不可替代的.但是X线平片显影主要是骨组织,X线平片检查伪影发生概率相对较高,为诊断的准确性带来了困难,X线影像诊断的误诊在临床工作中也是不可避免的,作为医务工作者总是要努力做到把误诊和漏诊减少到最低限度.本文就X线平片诊断医生在临床工作中要树立的诊断观念、拥有的读片方式、遵循的思维方法以及最后的报告书写,结合工作实践来探讨了对疾病的诊断,避免诊断结果对临床医生的错误导向.     

特质模糊性对大学生人格判断准确性的影响

该研究从大学生样本中抽取19名目标被试、57名熟人被试和76名陌生人被试,采用词汇评定方法考察了特质模糊性对人格判断准确性的影响,结果表明：（1）自我、熟人及陌生人对清晰特质判断的一致性比模糊特质的一致性更高,这种差异在自我—陌生人及熟人—陌生人一致性中尤为显著;（2）无论是模糊特质还是清晰特质,自我—熟人判断一致性显著高于自我—陌生人和熟人—陌生人一致性,后两者差异不明显;（3）随着特质模糊性的增加,被试判断间一致性差异总体上呈不断增大的趋势,清晰特质判断一致性的差异较小,模糊特质判断一致性的差异较大。     

Appraisal of Memory Functioning and Memory Performance in Healthy Ageing and Early-Stage Alzheimer's Disease

ABSTRACT

Background/Aims: To compare memory evaluations in healthy older people and people with Alzheimer's disease (AD) and present standardised individual and dyadic methods for classifying degree of memory awareness in the participants with dementia. Methods: Cross-sectional study evaluating awareness of memory functioning and performance and providing normative data for healthy individuals and couples, together with comparison data from people with AD. Results: As a group, older people are reasonably accurate raters of their own memory functioning and performance, although considerable individual differences can be observed, and control dyads show good comparative accuracy. Comparing normative data from the control group to data from participants with AD confirms that significant overestimation is a frequent feature among people with dementia, with approximately two-thirds showing this pattern, although significant under-estimation is also reliably observed in a small proportion of people with dementia. Different types of measure elicit different profiles of memory awareness in participants with dementia. Conclusion: Normative data from older individuals and couples provides useful percentile-based indices for determining level of memory awareness in people with dementia.     

Improving college students’ evaluation of text learning using idea-unit standards

When recalling key definitions from class materials, college students are often overconfident in the quality of their responses. Even with commission errors, they often judge that their response is entirely or partially correct. To further understand this overconfidence, we investigated whether idea-unit judgements would reduce overconfidence (Experiments 1 and 2) and whether students inflated their scores because they believed that they knew answers but just responded incorrectly (Experiment 2). College students studied key-term definitions and later attempted to recall each definition when given the key term (e.g., What is the availability heuristic?). All students judged the quality of their recall, but some were given a full-definition standard to use, whereas other students first judged whether their response included each of the individual ideas within the corresponding correct answer. In Experiment 1, making these idea-unit judgements reduced overconfidence for commission errors. In Experiment 2, some students were given the correct definitions and graded other students’ responses, and some students generated idea units themselves before judging their responses. Students were overconfident even when they graded other students’ responses, and, as important, self-generated idea units for each definition also reduced overconfidence in commission errors. Thus, overconfidence appears to result from difficulties in evaluating the quality of recall responses, and such overconfidence can be reduced by using idea-unit judgements.     

Vicarious shame

We examined an account of vicarious shame that explains how people can experience a self-conscious emotion for the behaviour of another person. Two divergent processes have been put forward to explain how another's behaviour links to the self. The group-based emotion account explains vicarious shame in terms of an in-group member threatening one's social identity by behaving shamefully. The empathy account explains vicarious shame in terms of empathic perspective taking; people imagine themselves in another's shameful behaviour. In three studies using autobiographical recall and experimental inductions, we revealed that both processes can explain why vicarious shame arises in different situations, what variation can be observed in the experience of vicarious shame, and how all vicarious shame can be related to a threat to the self. Results are integrated in a functional account of shame.     

Do automatic mental associations detect a flashbulb memory?

Flashbulb memories (FBMs) are defined as detailed memories for the reception context in which people first heard of a public and emotionally relevant event. For many years researchers have been debating whether FBMs can be considered a special class of emotional memories, or whether they suffer the same fate as ordinary autobiographical formations. The debate on the real existence of this special class of memories reflects the difficulty of establishing their accuracy. Three indices have been defined as proxies for FBM accuracy: specificity of recalled details, individuals’ confidence in their memory, and memory consistency over time. However, all approaches to FBM assessment have been based on explicit self-report measures. In two studies we aimed to detect FBMs for two emotional public events, by simultaneously employing explicit traditional FBM measures and implicit measures based on the autobiographical Implicit Association Test (aIAT). Jointly considered, the results from the two studies showed that the implicit measures were able to discriminate a FBM, and appeared significantly associated with explicit traditional measures of FBM Specificity, Confidence, and Consistency. Both explicit and implicit assessments concurred to correctly estimate a FBM. Implications for the FBM debate are discussed.     

Flashbulb memories of the Pope's resignation: Explicit and implicit measures across differing religious groups

In the present paper, we aimed to provide evidence in support of the idea tested in a recent study by Lanciano and colleagues that flashbulb memories (FBMs) are a special class of autobiographical memories that can be assessed through the autobiographical implicit association test (aIAT). FBMs and event memories (EMs) for the news of the resignation of Pope Benedict XVI were evaluated in three samples of churchgoer Catholic, non-churchgoer Catholic and Evangelical Italian participants through the traditional self-report measures (specificity/accuracy, confidence, consistency) and aIAT indices. Results confirmed the strength of the association between FBM and true information. The aIAT effect was stronger for FBMs than for EM details, and for Catholic respondents who were the group most concerned by the original event. Furthermore, the use of implicit measures for memory assessment concurs with the traditional self-report indices of FBMs. The present evidence supports the idea that FBMs are special autobiographical memories which remain detailed, certain and consistent over time.     

Violations of Fitts’ Law in a Ballistic Task

ABSTRACT

The authors explored changes in the postural preparation and movement times during jumps into targets of different sizes placed at different distances from the participant. Both movement and preparation times scaled with movement distance. Neither movement nor preparation time showed an effect of target size, although preparation time showed a tendency to increase for smaller targets. These observations show that the classical Fitts’ law can be violated in tasks that involve a ballistic component. The data corroborate a hypothesis that Fitts’ law originates at the level of movement planning.     

The Effects of Objectives and Constraints on Motor Control Strategy in Reciprocal Aiming Movements

The goal of this study was to examine how the kinematics of reciprocal aiming movements were affected by both the objective of the movement and the constraints operating on that movement. In Experiment 1, the objective of the movement was indirectly manipulated by capitalizing on the fact that subjects determine their own accuracy and speed limits, despite uniform task instructions to move as quickly and accurately as possible. A Fitts' type reciprocal aiming paradigm was employed, in which 69 subjects were asked to move a stylus repetitively between two spatially separated targets. Four target widths were orthogonally combined with four movement amplitudes, resulting in 16 conditions. Movements were made on an X-Y digitizing tablet. Based on the mean variable error produced on both targets, subjects were differentiated post hoc into three movement objective groups: speed, accuracy, and speed-plus-accuracy. Kinematic analyses revealed that the programming and execution of movements were systematically influenced by both the movement objective and the movement constraints. That is, movement time, peak velocity, dwell time, acceleration and deceleration time, normalized acceleration and normalized deceleration varied systematically as a function of both the speed-accuracy movement objective and the movement constraints of target size and movement distance. Moreover, the consequences of changing the constraints of the movement were affected by an interaction with the objective of the movement. In Experiment 2, the objective of the movement was directly manipulated by varying speed and/or accuracy instructions to subjects. The basic results of Experiment 1 were substantiated. Overall, the results were consistent with the view that motor control is dependent upon sensory consequences.