21世纪的中西医结合

自本世纪６０年代以来,中西医结合取得了重要进展,中西医结合的经验与成果已经引起国内外重视。２１世纪,在“中西医并重”的方针指引下,将会迎来更好的发展机遇。兼客、互补与结合创新是主要的三种结合形式,其中结合创新占有更重要的地位。我们应增强创新意识,选好创新目标,改善临床与研究工作条件,为取得更快的发展而努力。     

Auditory-verbal short-term memory impairment and conduction aphasia

The specific impairment of performance on repetition tasks has classically been identified with conduction aphasia. It is argued that this impairment can be subdivided and a deficit in span performance distinguished from that of the reproduction of single words. An explanation of the span deficit in terms of auditory-verbal short-term memory is preferred to hypotheses involving disconnections or damage to order retention systems. It is shown that a short-term memory component is present in many patients previously classified as conduction aphasics.     

An acoustical analysis of stutterer''s speech prior to and at the termination of speech therapy

The speech of nine adult stutterers was analyzed acoustically prior to and at the termination of a modified Van Riperian procedure to determine if therapy produced discernable changes in their post-therapy fluent speech. The findings indicate that stuttering frequency decreased significantly and reading rate decreased by a statistically insignificant amount during the course of therapy. Vowel duration and the occurrence of voicing during the stop consonant production increased significantly. These findings support the hypothesis that stuttering therapy can affect more than the fluency and rate characteristics of the stutterer's posttherapy speech.     

Genetic Evaluation and Counseling of Couples with Recurrent Miscarriage: Recommendations of the National Society of Genetic Counselors

The objective of this document is to provide recommendations for genetic evaluation and counseling of couples with recurrent miscarriage (RM). The recommendations are the opinions of the multidisciplinary Inherited Pregnancy Loss Working Group (IPLWG), with expertise in genetic counseling, medical genetics, maternal fetal medicine, internal medicine, infectious disease, cytogenetics, and coagulation disorders. The IPLWG defines RM as three or more clinically recognized consecutive or non-consecutive pregnancy losses occurring prior to fetal viability (<24 weeks gestation). These recommendations are provided to assist genetic counselors and other health care providers in clinical decision-making, as well as to promote consistency of patient care, guide the allocation of medical resources, and increase awareness of the psychosocial and cultural issues experienced by couples with RM. The IPLWG was convened with support from the March of Dimes Western Washington State Chapter and the University of Washington Division of Medical Genetics. The recommendations are U.S. Preventive Task Force Class III, and are based on clinical experiences, review of pertinent English-language published articles, and reports of expert committees. This document reviews the suspected causes of RM, provides indications for genetic evaluation and testing, addresses psychosocial and cultural considerations, and provides professional and patient resources. These recommendations should not be construed as dictating an exclusive course of medical management, nor does the use of such recommendations guarantee a particular outcome. The professional judgment of a health care provider, familiar with the circumstances of a specific case, should always supersede these recommendations.     

在亮度对比和颜色对比下立体视知觉的定量研究

研究了在亮度对比与等亮度颜色对比的条件下,受试者分辨随机点阵立体图对的立体视敏度（最小视差）．结果表明：（１）在亮度对比条件下,立体视敏度随对比度的增加而增加,１０％的对比度即可引起立体视知觉,对比度大于３０％时达到饱和;（２）在亮度对比与等亮度颜色对比两种不同的条件下,受试者的立体视敏度不存在有统计学意义的差异;（３）当双眼分别接受不同颜色的等亮度立体图刺激时,与亮度对比条件相比,受试者的立体视敏度无明显差异;（４）当受试者双眼分别接受由亮度对比和颜色对比形成的立体图刺激时,只有当颜色对比图中图形与背景间的对比度超过等亮度值３８％以上时,才能形成立体视知觉．以上结果提示,大、小细胞系统（包括斑点系统与斑点间系统）均参与立体视知觉信息的传递．     

学龄弱智儿童语言发展研究

本研究运用三项测试,考查了学龄弱智儿童语言发展状况。结果表明,弱智儿童语言发展过程和规律与正常儿童相似,并没有脱离正常儿童语言发展的一般模式,但他们语言发展速度极其缓慢,即使匹配了智龄,也远不如正常儿童,而且弱智儿童在语言运用上有其特点,与正常儿童有“质”的差异。     

On the nature of the verbal memory deficit in Alzheimer''s disease

Verbal memory was investigated in patients with Alzheimer's disease (AD) with previously documented deficits in word production and comprehension. Procedures were employed to evaluate word recall and recognition within the context of both "multistore" and "levels of processing" models of memory. In addition, memory abilities were evaluated with respect to performance on measures of verbal fluency and language comprehension. As expected, the AD patients performed significantly worse than normal individuals on all tasks. However, in each experiment their pattern of recall across conditions was found to be qualitatively similar to that produced by normal subjects. It was argued that the memory impairment associated with Alzheimer's disease may be largely due to an inability to encode a sufficient number of stimulus features or attributes. Furthermore, this encoding deficit includes, but is not limited to, semantic attributes. Similarities between the performance of the AD patients and reported findings with Korsakoff patients and normal subjects with "weak" memory were discussed.     

Parafoveal attention in congenitally deaf and hearing young adults

This reaction-time study compared the performance of 20 congenitally and profoundly deaf, and 20 hearing college students on a parafoveal stimulus detection task in which centrally presented prior cues varied in their informativeness about stimulus location. In one condition, subjects detected a parafoveally presented circle with no other information being present in the visual field. In another condition, spatially complex and task-irrelevant foveal information was present which the subjects were instructed to ignore. The results showed that although both deaf and hearing people utilized cues to direct attention to specific locations and had difficulty in ignoring foveal information, deaf people were more proficient in redirecting attention from one spatial location to another in the presence of irrelevant foveal information. These results suggest that differences exist in the development of attentional mechanisms in deaf and hearing people. Both groups showed an overall right visual-field advantage in stimulus detection which was attenuated when the irrelevant foveal information was present. These results suggest a left-hemisphere superiority for detection of parafoveally presented stimuli independent of cue informativeness for both groups.     

Les métamorphoses du système de santé

The normative framework intervened in recent years to renovate and establish a coherent framework to the hospital system questions the bipartite division between private medicine and public medicine. The state supervision, consolidated by the Law of 26 January 2016 on the modernization of the health system, blurs the boundaries and involves renewing the qualification of our health system.     

Intentions vs. resemblance: Understanding pictures in typical development and autism

Research has debated whether children reflect on artists’ intentions when comprehending pictures, or instead derive meaning entirely from resemblance. We explore these hypotheses by comparing how typically developing toddlers and low-functioning children with autism (a population impaired in intentional reasoning) interpret abstract pictures. In Experiment 1, both groups mapped familiar object names onto abstract pictures, however, they related the same representations to different 3-D referents. Toddlers linked abstract pictures with intended referents they did not resemble, while children with autism mapped picture-referent relations based on resemblance. Experiment 2 showed that toddlers do not rely upon linguistic cues to determine intended referential relations. Experiment 3 confirmed that the responding of children with autism was not due to perseveration or associative word learning, and also provided independent evidence of their intention-reading difficulties. We argue that typically developing children derive meaning from the social-communicative intentions underlying pictures when resemblance is an inadequate cue to meaning. By contrast, children with autism do not reflect on artists’ intentions and simply relate pictures to whatever they happen to resemble.