城镇职工医疗保险改革面临的问题与对策

我国政府已明确提出城镇职工基本医疗保险制度的改革目标,虽然改革已取得了一些进展,但距改革目标仍有相当差距。采用政治分析方法,分析了目前医改所面临的主要问题与原因,并在借鉴国际医疗保障制度改革启示的基础上,进一步探讨解决问题和推进改革进程的思路。     

抽象动词的具身表征：运动特征的影响

本研究使用具身行为范式—动作-句子相符效应（ACE）探讨了动词运动特征在抽象动词具身表征中的作用。实验1验证ACE在考察感觉运动系统参与双音节动词表征问题上的可行性,结果在具体动词中得到了ACE。实验2以不同运动特征值的抽象动词为材料,在高运动抽象动词中得到了ACE,但在低运动抽象动词中未发现ACE,且ACE大小与运动特征评分显著相关。结果证明了感觉运动系统在抽象动词表征中的参与,支持抽象概念的具身表征观点。     

Effects of time uncertainty and instructed muscle tension on fractionated reaction time

Abstract: An experiment was conducted to examine the effects of time uncertainty and instructed muscle tension on the reaction time of elbow flexion. Twenty-two right-handed subjects were asked to respond to an audio stimulus by flexing their right elbow under four conditions (2 time uncertainty × 2 instructed muscle tension). Electromyograms (EMGs) were recorded from the biceps and triceps on the subject's right side. Reaction time was divided into premotor time and motor time, based on the difference between the EMG and elbow flexion response. Analysis of reaction time showed that the effects of time uncertainty and instructed muscle tension were additive. Time uncertainty affected premotor time only, and instructed muscle tension affected motor time only. These results are discussed in terms of the assumption that premotor time is a reflection of the central nervous system and motor time is a reflection to the peripheral muscle system.     

短时距知觉中的面积效应

初步探讨了短时距（１─５ｓ）下时距刺激的面积大小和立体框架大小对时距知觉的影响及其成因。结果表明：刺激的面积大小对短时距知觉的影响极其显著;存在两种不同反应类型的被试─－大小依存者与非大小依存者,在不同反应类型的被试中刺激的立体框架大小对短时距知觉的影响不同,刺激的立体框架大小对大小依存者的短时距知觉的影响极其显著,但对非大小依存者的影响不显著。     

Pigeons' preference for free choice: number of keys versus key area.

In concurrent-chains schedules, pigeons prefer terminal links that provide two keys correlated with reinforcers (free choice) over those that provide only one key (forced choice), terminal-link reinforcement rates being equal. With same-size keys, free choice provides a larger area available for pecking. Preferences were examined using terminal links that differed in key number only (one or two) or key size only (small and medium or medium and large), or that equated the area of the two free-choice keys with that of the forced-choice key. Medium (standard) keys were typically preferred to small keys, but indifference was typically obtained between medium and large keys. The size preference usually overrode free-choice preference with one medium key pitted against two small keys, but free-choice preference was reliably observed with one large key pitted against two medium keys. In other words, preferences were a joint function of key number and key area, implying that free-choice preference is not reducible to preference for larger key areas. Free-choice preference requires separate keys rather than larger areas; the relevant behavioral units are the discriminated operants correlated with each terminal-link key rather than classes defined by topographical features such as area or perimeter.     

The treatment of muscle tics with dissimilar competing response practice

Prior research has shown that muscle tics can be suppressed by the performance of a competing response contingent on the occurrence of the muscle tics. In an effort to determine whether the topography of the competing response was important to the muscle tic suppressing effects of contingent competing response practice, we evaluated the effects of a competing response that was topographically dissimilar to the muscle tic. Three subjects engaged in dissimilar competing responses contingent on the occurrence of a muscle tic; 2 of these subjects subsequently engaged in similar competing response practice. The results showed a decrease in objective measures of muscle tic frequency with the introduction of dissimilar competing response practice for each subject; subsequent exposure to similar competing response practice for 2 subjects resulted in no additional decrement in the level of muscle tics. These results suggest that the topography of the competing response may not be crucial for the suppression of muscle tics. Discrepancies between the objective measures of muscle tics and self-recorded measures are noted and discussed.     

Developmental stuttering and the role of the supplementary motor cortex

Developmental stuttering is a frequent neurodevelopmental disorder with a complex neurobiological basis. Robust neural markers of stuttering include imbalanced activity of speech and motor related brain regions, and their impaired structural connectivity. The dynamic interaction of cortical regions is regulated by the cortico-basal ganglia-thalamo-cortical system with the supplementary motor area constituting a crucial cortical site. The SMA integrates information from different neural circuits, and manages information about motor programs such as self-initiated movements, motor sequences, and motor learning. Abnormal functioning of SMA is increasingly reported in stuttering, and has been recently indicated as an additional “neural marker” of DS: anatomical and functional data have documented abnormal structure and activity of the SMA, especially in motor and speech networks. Its connectivity is often impaired, especially when considering networks of the left hemisphere. Compatibly, recent data suggest that, in DS, SMA is part of a poorly synchronized neural network, thus resulting in a likely substrate for the appearance of DS symptoms. However, as evident when considering neural models of stuttering, the role of SMA has not been fully clarified. Herein, the available evidence is reviewed, which highlights the role of the SMA in DS as a neural “hub”, receiving and conveying altered information, thus “gating” the release of correct or abnormal motor plans.