医学影像学见习应用PACS教学法与传统读片教学法的对比研究

将中南大学湘雅医学院2010级临床医学五年制197名学生随机分成两组,在医学影像学见习教学过程中分别应用影像存储及传输系统（PACS）教学法（98人）及传统读片教学法（99人）,学期结束时对两组学生考试成绩进行分析,并对PACS组学生进行问卷调查及结果分析.统计数据显示,PACS组学生读片测验及卷面考试中,病例分析题成绩显著高于传统读片组,问卷调查显示PACS组学生大多数认可该教学方法.因此,应用PACS教学有助于提高学生的临床分析能力及主动学习的能力,是学生欢迎的教学方式.但对医学影像学基本知识的传授,应用PACS法较传统读片法并无明显优势.     

人工肝支持系统治疗肝衰竭的研究进展

目前肝衰竭发病率和病死率仍然较高,肝衰竭成为威胁患者生命的严重疾病。基于肝脏具有强大再生能力,人工肝支持系统作为一种“过渡”措施,为肝衰竭患者的肝功能恢复赢得时间。人工肝支持系统根据性质不同分为非生物型人工肝、生物型人工肝和混合型人工肝。目前非生物型人工肝已在肝病治疗领域被广泛应用,但生物型及混合型人工肝的临床应用还存在很多问题需要进一步研究和解决。因此本文对人工肝的作用、临床应用现状、存在问题及研究进展进行综述。     

Object representations are biased toward each other through statistical learning

The visual system is remarkably efficient at extracting regularities from the environment through statistical learning. While such extraction has extensive consequences on cognition, it is unclear how statistical learning shapes the representations of the individual objects that comprise the regularities. Here we examine how statistical learning alters object representations. In three experiments, participants were exposed to either random arrays containing objects in a random order, or structured arrays containing object pairs where two objects appeared next to each other in fixed spatial or temporal configurations. After exposure, one object in each pair was briefly presented and participants judged the location or the orientation of the object without seeing the other object in the pair. We found that when an object reliably appeared next to another object in space, it was judged as being closer to the other object in space even though the other object was never presented (Experiments 1 and 2). Likewise, when an object reliably preceded another object in time, its orientation was biased toward the orientation of the other object even though the other object was never presented (Experiment 3). These results demonstrated that statistical learning fundamentally shapes how individual objects are represented in visual memory, by biasing the representation of one object toward its co-occurring partner. Importantly, participants in all experiments were not explicitly aware of the regularities. Thus, the bias in object representations was implicit. The current study reveals a novel impact of statistical learning on object representation: spatially co-occurring objects are represented as being closer in space, and temporally co-occurring objects are represented as having more similar features.     

手近效应：研究内容、影响因素与神经机制

把手放在刺激旁边,会对知觉、记忆、语义和执行控制等认知加工产生影响,这类现象被称为手近效应。手近效应反映了身体与环境的互动对认知的塑造作用,为具身认知提供了新证据。本文从手近效应的内容,影响因素,及其认知、神经机制等方面对相关研究进行梳理。并从手近效应的神经机制,应用研究,以及动作意图和人际社会因素的调节作用等方面探讨当前手近效应还未解决的问题。     

小学生在交通情境中的视觉搜索：发展的观点

为探讨小学生在交通情境中的视觉搜索发展特点,研究以一、二、四和六年级小学生,以及成人为被试,采用“找不同”任务和过马路决策眼动任务进行实验。结果发现,一、二年级小学生“找不同”的效率低于成人;一年级小学生冒险及错失过马路比例均较高;小学生的眼跳特征与成人相似,但对兴趣区的关注低于成人;女生错失过马路比例高于男生,视觉搜索水平及搜索策略的性别差异不显著。研究表明,小学生的视觉搜索能力随年龄逐渐提高,但搜索的有效性低于成人,性别分化不明显。     

Attentional biases to threat in social anxiety disorder: time to focus our attention elsewhere?

Background: Cognitive models propose that attentional biases to threat contribute to the maintenance of social anxiety disorder (SAD). However, the specific characteristics of such biases are still object to debate.

Objectives: The current study aimed to disentangle effects of trait and state social anxiety on attention allocation towards social stimuli.

Methods: Participants with SAD (n?=?67) and healthy controls (n?=?62) completed three visual search tasks while their eye movements were recorded. Half of the participants in each group were randomly assigned to a state anxiety induction.

Results: Contrary to our predictions, neither trait nor state social anxiety was associated with a facilitated attention to or a delayed disengagement from threat. However, participants with SAD did show reduced fixation durations for threatening stimuli, indicating an avoidance of threat. Induction of state anxiety led to an increased distractibility by threat.

Conclusions: We suggest that attention allocation in SAD is characterized by an avoidant rather than a vigilant attentional bias. Accordingly, our results contradict previous results that associate SAD with facilitated attention to threat and existing approaches to modify attentional biases, that aim to decrease attention towards threatening stimuli.     

The relationship between visual search and categorization of own- and other-age faces

Young adult participants are faster to detect young adult faces in crowds of infant and child faces than vice versa. These findings have been interpreted as evidence for more efficient attentional capture by own-age than other-age faces, but could alternatively reflect faster rejection of other-age than own-age distractors, consistent with the previously reported other-age categorization advantage: faster categorization of other-age than own-age faces. Participants searched for own-age faces in other-age backgrounds or vice versa. Extending the finding to different other-age groups, young adult participants were faster to detect young adult faces in both early adolescent (Experiment 1) and older adult backgrounds (Experiment 2). To investigate whether the own-age detection advantage could be explained by faster categorization and rejection of other-age background faces, participants in experiments 3 and 4 also completed an age categorization task. Relatively faster categorization of other-age faces was related to relatively faster search through other-age backgrounds on target absent trials but not target present trials. These results confirm that other-age faces are more quickly categorized and searched through and that categorization and search processes are related; however, this correlational approach could not confirm or reject the contribution of background face processing to the own-age detection advantage.