医院数字化管理在临床决策中的作用

医院数字化建设是管理行为中的重要手段,借助这一工具,医疗决策的制定和执行将更加科学和规范,但同时医院数字化管理在法律和具体操作上对临床决策的管理还有一定的影响。讨论医院数字化在医疗决策中的合法性、安全性及对临床决策基本原则的作用。     

中西早期的“适度”思想及适用范围的扩展——从人间伦理到生态伦理

此文从中西“中道”和“中庸”的翻译和理解入手,进而讨论和比较了中西“中道”和“适度”思想的一些相近内涵和意义层面,主张把主要是作为人间伦理的“适度”观念引用到生态伦理之中,以建立人与自然的和谐关系。     

语义距离半球效应的ERP研究

以通过视觉通路呈现的汉语双字词为实验材料,操纵启动词与目标词的语义距离。在词汇决定实验中记录ERP,发现：（1）除N300外,P240亦对语义距离敏感,它可能是一种与语义加工有关的新的ERP成分;（2）P240在头皮中央偏左的部位较早出现,但在头皮右侧波幅较大;（3）N300和P240都不存在语义距离的半球效应,该结果没有证实右脑更专擅远距离语义加工的假设,表明使用汉语与使用拼音文字的脑机制存在差异。     

The practice research network: Research into practice,practice into research

The purpose of the broader project on which this report is based was to utilize a Practice Research Network, an alternative to traditional clinical studies to 1) identify demographically one practice group, namely professional counselors in the United States, 2) describe their practice patterns, and 3) identify their client population and the efficacy of their clinical work through client outcomes based on actual client reports. This article describes the development of one such nation‐wide Practice Research Network (PRN) and provides some preliminary findings for each phase of the project. Use of the PRN model can help overcome the traditional “research to practice” gap and provide research results into community practice thus integrating outcomes measures into the daily practice of mental health professionals. During the early phases of this project, a software program was developed upon which the participating practitioners could identify the data elements within the parameters of the focus on their agreed‐upon research interests, enter data following client visits over time, and by comparing their own composite profiles and effectiveness with those of other participating practitioners who had clients presenting with similar diagnoses, could alter their own service delivery patterns, therapeutic interventions, or approaches while working with the clients and thereby improve the efficacy of their service. By participating, the practitioners benefited by access to downloadable and printable reports on profiles of 1) their specific clients, 2) their service delivery patterns, and 3) the outcomes or efficacy by their clients’ direct feedback. They were also able to compare these results with the composite data from other practitioners.     

亲组织非伦理行为的形成机制：一个交互模型的检验

基于亲组织非伦理行为的“亲组织”与“非伦理”双重特征,构建了一个亲组织非伦理行为形成机制的交互模型。实证结果表明,领导成员交换关系和工作不安全感不仅均对亲组织非伦理行为具有直接正向影响,两者对亲组织非伦理行为还存在一定的交互效应。个人-集体主义正向调节工作不安全感与亲组织非伦理行为的关系。     

Autochthony through self-organization: Interactivism and emergence in a virtual environment

In this paper we take an interactivist perspective on the computer-mediated classroom, and explore the autopoietic teaching approach in the context of emergence of diversity in the classroom. The POPSICLE (Patterns in Orientation: Pattern-Aided Simulated Interaction Context-Learning Experiment) is presented and discussed, as well as its multiple consequences. POPSICLE is a study of learning in human subjects, as well as of interaction and transfer of knowledge between subjects in a collaborative environment.     

What is Classical and Non-Classical Knowledge?

Mamardašvili’s ‘classical’ paradigm of knowledge is seen to be minimally based on extrapolations from Descartes’ classical philosophy to which Mamardašvili attributes features that rather anticipate his own post-classical ontology. The latter is oriented towards the primacy of perception as a subjective process, in which the self-conscious subject constructs the world, not as illusion, but as a ‘picture’ or ‘model’ (Wittgenstein’s Bild). By examining Mamardašvili’s definition of the ‘phenomenon’ against the␣background of Husserl’s ‘reduction’, Wittgenstein’s ‘object’ and the Freudian and post-structuralist psychoanalytic model of subjectivity, the paper arrives at the inference that Mamardašvili is essentially a post-Structuralist thinker who appropriates concepts from various critical and philosophical disciplines to construct his own multi-disciplinary theory of consciousness and perception.     

Do Strong Group Identities Fuel Intolerance? Evidence From the South African Case

One conventional explanation of intergroup conflict is Social Identity Theory. That theory asserts that strong ingroup sympathies can give rise to outgroup antipathies which in turn fuel intolerance and conflict. While embraced by both macro- and microlevel analysts, this theory actually has not been widely investigated outside a laboratory environment. In this article, I test hypotheses linking group identities with intolerance, based on a 2001 survey in South Africa, a country where group identities have long been politicized. My empirical findings indicate that group identities are not useful predictors of South African intolerance. Indeed, for neither the black majority nor the white minority do ingroup identities activate very much outgroup intolerance. Moreover, group identities are positively, not negatively, correlated with holding a South African national identity. These findings, based on unusually broad indicators of both identity and tolerance, suggest that the causes of group conflict lie elsewhere than in group attachments.     

“比较治疗学”的原理与方法浅析

重点论述比较治疗学的发展背景和历史、基本概念、治疗方法、以及比较治疗学的发展基础和其对临床医学所带来的影响等。比较治疗学的产生和发展对传统医学以及临床医生来说都是一个严峻的挑战,如果临床医生能熟练地掌握和综合地运用比较治疗学的决策方法去解决临床医学的问题,将会大大提高临床诊疗工作的科学性和合理性。     

关于B族Ⅰ型清道夫受体研究进展的认识

B族I型清道夫受体(SR-BI)具有经典的清道夫受体功能,且是HDL的高亲和力受体,并能介导HDL中胆固醇的选择性摄取、影响血浆HDL-C水平以及介导非酯化胆固醇在脂蛋白和细胞之间的双向运动,具有抗动脉粥样硬化的作用。其研究过程反映了相对真理与绝对真理、现象与本质的辩证关系。当新现象被逐一发现,相对真理就逐渐确立,而循序渐进并运用创造性思维,最终将揭示事物的本质,实现相对真理向绝对真理的转化。