加强我国农民工职业病防治工作的思考

我国现有两亿多农民工,且遭受不同程度的职业病危害,以致近年新发现的职业病人几乎是农民工,但他们却没享受法律规定的平等待遇,为此中央领导多次批示,要求制定有利于《职业病防治法》贯彻落实和职业病防治工作的制本之策。结合广西开展农民工职业病防治工作的实践,指出其6个方面的主要原因和防治对策。     

高新技术临床应用中不合理诊疗行为的思考

高新医疗技术临床应用中的不合理诊疗行为,主要包括医方趋利性医疗行为和防御性医疗行为。通过典型案例对高新医疗技术临床应用中的不合理诊疗行为的成因进行分析,剖析不合理的诊疗行为,提出了规范应用高新医疗技术的对策。     

心算加工的认知神经科学研究

近几年(1999-2005)有关心算加工的脑活动机制研究发现,类似九九乘法表这样的算术知识提取(如3×5)主要与左脑顶内沟有关,但当心算变得更复杂时(如26×38),左脑额叶下部出现明显激活,这表明心算与语言和工作记忆关系密切。另一方面,也存在不依赖于语言的即表现为视觉表象活动的心算,右脑的一些脑区在其中起了作用。简言之,所有与心算有关的脑区涉及到大脑前额皮层和颞顶枕联合皮层的综合作用,并总体表现为左脑优势,但具有特殊心算能力的人其心算还与右脑前额叶和颞叶内侧脑区的活动有关。     

智障儿童和正常儿童外显记忆与内隐记忆的比较研究

本实验采取加工分离程序(PDP)对38名弱智儿童的外显记忆与内隐记忆进行研究,并与47名正常儿童进行比较,结果认为:(1)正常儿童外显记忆明显优于弱智儿童,但在内隐记忆方面,正常儿童与弱智儿童没有显著差异;(2)本实验中,年龄对内隐记忆和外显记忆均没有影响。研究结果对弱智儿童的教育方面有启示作用;另外,PDP实验由于其本身的复杂性,在对特殊人群进行施测时,需要特别注意。     

Motivational Predictors of Change in Oral Health: An Experimental Test of Self-Determination Theory

We tested the hypothesis that a psychosocial dental intervention formulated in terms of self-determination theory would increase patients’ perceived competence and autonomous motivation for dental care and would decrease their plaque and gingivitis over a seven month period, compared to standard dental treatment. We also tested a process model in which the intervention was expected to increase perceived dental competence and autonomous motivation, that they would be positively associated with oral health behaviors (i.e., brushing and flossing), which was expected to decrease plaque and, in turn, decrease gingivitis. We also examined whether: changes in perceived competence and autonomous motivation would mediate the effect of the intervention on dental-health behaviors; dental-health behaviors would mediate the links from changes in perceived competence and autonomous motivation to change in plaque; and change in plaque would mediate the relation of dental health behaviors to change in gingivitis. Finally, we examined the fit of the overall model with structural equation modelling. Results supported all predictions.

A Qualitative Study of Health Professionals' Views Regarding Provision of Information About Health-Protective Behaviors During Genetic Consultation for Breast Cancer

This study aimed to explore health professionals' views and practice regarding the provision of information about health-protective behaviors (e.g., exercise, alcohol consumption, diet) during genetic consultation for breast cancer. Ten genetic counselors participated in three focus groups, and seven medical specialists were interviewed in a focus group or individually. Data was analyzed using the constant comparative method. Findings suggested that health professionals held differing, often opposing, views about the value of health-protective behaviors for women at increased risk of breast cancer. The content and extent of information provided about health-protective behaviors varied widely, and participants expressed a need to form consensus regarding information provision both within and across clinics. The main barriers to providing information regarding health-protective behaviors included the lack of research evidence regarding the impact of these factors and higher priority of other information need to be provided in the limited consultation time. Participants generally did not consider it their role to promote health-protective behaviors, and were concerned about the psychological impact of providing information about behavioral risk factors during genetic consultations.     

中国健康城市建设的进展及理论思考

中国健康城市的建设走过了探索和实质性发展两个阶段.它以健康促进的理念为指导,以"健康社会、健康环境、健康人群"为主线,成为了当前开展健康促进的典范.健康城市能呈现实质且快速发展的势头,政府主导是其重要的特点.它既符合中国社会文化背景和现状,也是以"上游策略"来解决全人群健康问题创新性举措.中国健康城市推行的深远意义在于,它为当前公共卫生体系建设赋予了先进的内涵,与世界卫生组织倡导的"健康促进曼谷宪章"的核心精神是完全相符的,成为了引领中国公共卫生汇入国际现代公共卫生运动的领头兵.但是,它的茁壮成长仍需要有远见的政治家的呵护和支持.     

非传统理念指导下的传统技术导致应用医学重大课题的突破--关于2005年诺贝尔生理学或医学奖

发现幽门螺杆菌(Helicobacter pylori,以下简称Hp)导致慢性胃炎和消化性溃疡,是沃伦和马歇尔获得2005年诺贝尔医学奖的原因.他们在1982年得出的这一假说,违反了关于这一类慢性病传统的发病机制理念.可能因为这一理念的反传统性,其假说被世界同行基本接受大概经历了20年时间.值得强调的是,对HP的观察、分离、培养、鉴定和人体试验,以及它与疾病相关的诊断、治疗、临床流行病学等研究,应用的都是传统的医学技术.从而表明,即使到了20世纪80年代,传统技术仍能导致诺贝尔奖级科研成果的出现.     

转基因食品与人类健康初探

随着转基因食品不断地进入市场,学者和公众对转基因食品是否危害人类健康展开了激烈的争论。介绍转基因食品安全性评价的科学指标,运用伦理学的基本原则对两种观点进行了分析,并提出对转基因食品采取“有罪推定”的战略。