Ilizarov的发明、发现与技术传播过程对临床医生的启示

对俄罗斯骨科医生Ilizarov的生平、理论发现、器械发明、技术创新与该技术在世界的传播过程进行了介绍,期望能对临床医生的工作与创新有所启示。     

学习时间分配机制的眼动研究

本研究采用被试内的实验设计,以无意义词对为实验材料,利用眼动记录技术,通过分析在有无时间压力时,个体对不同难度词对的学习时间分配,检验学习时间分配的差距缩减模型和最近学习区模型.研究发现:(1)在总注视时间上,难度和时间压力的影响都是显著的,并且存在交互作用.(2)个体的学习次序是由易到难的.研究结果支持了最近学习区模型.     

The analyst's implicit alpha-function, trauma and enactment in the analysis of borderline patients

The present paper discusses situations in which patient and analyst are involved in obstructive collusions, non-dreams-for-two, shaping enactments. Specifically, it describes explosions in the analytical field, acute enactments, which the analyst assigns, at first sight, to his faulty conduct. The subsequent amplification of the analytical dyad's capacity of symbolization makes the analyst investigate his presumed fault. The present work shows how acute enactments revive traumatic situations that were concealed by previous obstructive collusions, or chronic enactments. During chronic enactments unconscious exchanges occur between the dyad, in which the analyst provides implicit alpha-function to the patient, little by little recovering the traumatized parts. When there is enough recovery, the protective collusion is undone and the trauma is revived as acute enactment. This revival will not be traumatic because there are mental resources ready at hand to symbolize it. These situations are articulated with borderline patients. The patient clings to the analyst, using him as a protective shield against reality traumas. The implicit and explicit alpha-function exerted by the analyst contributes to the processing and symbolization of this reality, recovering the injured mind and elaborating the trauma. So the patient creates a triangular space to dream and think.     

规范美容医学临床技术--略谈《临床技术操作规范·美容医学》分册的编写体会

从现代医学模式转变出发,探讨了<临床技术操作规范·美容医学>分册的编写体会,阐明了该<规范>分册的指导思想、基本原则,介绍了美容医学临床技术实施效果评价的主要内容和要求.     

Technical Considerations When Handling Questions in the Initial Phase of Psychotherapy

Responding to patients' questions throughout the therapeutic process can be challenging. Questions posed at the beginning of treatment have unique features which make them especially difficult to negotiate. When handled skillfully and tactfully, questions asked during this phase can provide the therapist with important opportunities to foster engagement in treatment. Questions can provide valuable information about the patient's internal world, afford the opportunity to socialize the patient to the therapeutic process, and aid in rapport-building. This article will focus on ways to understand and handle questions patients ask during the initial phase of treatment. Vignettes will be presented and specific responses therapists can offer to patients will be discussed.     

Contributions of volumetrics of the hippocampus and thalamus to verbal memory in temporal lobe epilepsy patients

Recent theories have posited that the hippocampus and thalamus serve distinct, yet related, roles in episodic memory. Whereas the hippocampus has been implicated in long-term memory encoding and storage, the thalamus, as a whole, has been implicated in the selection of items for subsequent encoding and the use of retrieval strategies. However, dissociating the memory impairment that occurs following thalamic injury as distinguished from that following hippocampal injury has proven difficult. This study examined relationships between MRI volumetric measures of the hippocampus and thalamus and their contributions to prose and rote verbal memory functioning in 18 patients with intractable temporal lobe epilepsy (TLE). Results revealed that bilateral hippocampal and thalamic volume independently predicted delayed prose verbal memory functioning. However, bilateral hippocampal, but not thalamic, volume predicted delayed rote verbal memory functioning. Follow-up analyses indicated that bilateral thalamic volume independently predicted immediate prose, but not immediate rote, verbal recall, whereas bilateral hippocampal volume was not associated with any of these immediate memory measures. These findings underscore the cognitive significance of thalamic atrophy in chronic TLE, demonstrating that hippocampal and thalamic volume make quantitatively, and perhaps qualitatively, distinct contributions to episodic memory functioning in TLE patients. They are also consistent with theories proposing that the hippocampus supports long-term memory encoding and storage, whereas the thalamus is implicated in the executive aspects of episodic memory.     

数学学习不良儿童视觉-空间表征与数学问题解决

采用临床访谈的方法,考察了30名数学学习不良(MD)儿童和31名一般儿童的数学问题解决、视觉-空间表征策略和空间视觉化能力。结果发现：图式表征能促进数学问题的解决,图像表征则起妨碍作用;空间视觉化能力与解题正确率及图式表征策略有显著正相关,与图像表征策略有显著负相关。MD儿童的解题正确率以及使用图式表征策略的程度显著低于一般儿童,使用图像表征策略的程度则显著高于一般儿童。在解题正确率和图式表征策略这两个变量上,MD儿童和一般儿童的年级发展趋势相同,都随年级的升高而提高。但在图像表征策略的使用上,一般儿童有随年级的升高而下降的趋势,MD儿童却没有下降的趋势。两类儿童的空间视觉化能力都随年级的升高而提高。     

TEACHING SEVERELY MULTIHANDICAPPED STUDENTS TO PUT ON THEIR OWN HEARING AIDS

Two experiments were conducted with six severely multihandicapped students with hearing impairments to: (a) train the six students to put on their own hearing aids independently, and (b) provide an empirical evaluation of a comprehensive instructional program for putting on a hearing aid by assessing acquisition, maintenance, and generalization of that skill across environments. All six students acquired the skill rapidly, with two students requiring remedial training on one step of the program. Because for two of the original three students the newly learned skill failed initially to generalize to other environments, a second experiment was initiated to assess generalization across environments as well as to replicate the efficiency of the acquisition program. When a variation of the multiple-probe baseline technique was used, the behavior of three additional students generalized to other settings without direct training in those settings.     

精细阐述在先行信息通达中的作用

先前研究发现,在篇章阅读理解中,先行信息与当前信息的合适与否是影响其通达的重要因素。本研究进一步引入精细阐述因素,通过窗口阅读及命名探测技术,以含错误信息的文章为阅读材料,探讨在篇章阅读理解中,精细阐述、信息的合适与否两者相比,何者对先行信息的通达速度影响更大。结果发现,如果错误信息受到精细阐述,在遇到相关的回指词时该信息会比合适、但未受精细阐述的先行信息更快得以通达,表明精细阐述在先行信息通达过程中具有相当重要的作用。     

县级统计局局长的胜任特征成分研究

胜任特征是与优秀业绩有因果关系的所有个人特征的总和。对27名县级统计局局长的关键事件和行为事件访谈文本转录进行扎根理论分析,开放式译码提取并定义了60个简单译码概念,编制了胜任特征重要性调查问卷并对103位县级统计局局长进行调查,得到59个胜任特征成分,关联译码得到17个类属概念,主轴译码得到4个范畴,即：专业能动性、专业能力、政策水平与法律意识、伦理道德与领导能力。