关于晚期肿瘤患者临终关怀问题的探讨

分析了晚期肿瘤患者临终关怀的重要意义和特殊性,论述了临终关怀的主要内容,探讨了临终关怀中的伦理问题,特别是对是否告知患者实情和是否应该放弃治疗等问题进行了深入讨论和分析。并提出晚期肿瘤患者的临终关怀,要从生理、心理、社会、伦理等多方面、多角度关爱患者,帮助患者认识生命价值,理解生命意义,提高生存质量。     

1例晚期肿瘤患者宁养服务浅谈

通过提供居家宁养护理指导和心理疏导的方法,为晚期癌症患者提供身、心、灵全方位的照顾,从而提高晚期癌症患者的生活质量。通过对1例晚期肿瘤患者进行症状控制、护理指导、心理疏导、灵性沟通,该晚期肿瘤患者及家属的自身照顾能力提高,晚期肿瘤患者在生命末期的生活质量有所提高,最终达到善终。身心灵的照顾在宁养服务中起重要作用,有利于患者生活质量的提高,但仍要根据患者的个体特点并掌握一定技巧。     

Offending Patterns of Serial Sex Offenders: Escalation,De‐escalation,and Consistency of Sexually Intrusive and Violent Behaviours

A series of stranger sexual assaults poses considerable obstacles for law enforcement officials. One such preoccupation is concerned with whether or not the offender will escalate in the severity of his behaviours with subsequent victims. The current study uses transition matrices to address whether or not the offending patterns of 72 serial stranger sex offenders change from one victim to the next as it pertains to their sexual acts and level of physical force used during the crime. Findings indicate that stability, specifically the offender's intrusive sexual acts and use of physical force, and versatility are present in this sample's offending patterns. To explain changes in offending patterns between victims, multinomial regression analyses indicate that situational factors and modus operandi strategies are important considerations. Implications for investigations are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

Sleepwalking Into Infertility: The Need for a Public Health Approach Toward Advanced Maternal Age

In Western countries today, a growing number of women delay motherhood until their late 30s and even 40s, as they invest time in pursuing education and career goals before starting a family. This social trend results from greater gender equality and expanded opportunities for women and is influenced by the availability of contraception and assisted reproductive technologies (ART). However, advanced maternal age is associated with increased health risks, including infertility. While individual medical solutions such as ART and elective egg freezing can promote reproductive autonomy, they entail significant risks and limitations. We thus argue that women should be better informed regarding the risks of advanced maternal age and ART, and that these individual solutions need to be supplemented by a public health approach, including policy measures that provide women with the opportunity to start a family earlier in life without sacrificing personal career goals.     

Contributions of Behavioral Systems Science to Leadership for a New Progressive Movement

We argue in this paper that we are in the midst of a period in which fundamental global change will be required if societies and many species, perhaps even our own, are to survive. The realities are inescapable, and the potential implications are likely to affect nearly every dimension of human life in the USA and globally. Current trends are discouraging and will be extraordinarily difficult to shift, given global structural realities. It is hard to imagine a time when effective leadership is more necessary or will be more challenging. Our thesis here is that behavioral systems science can contribute in meaningful ways to shaping and sustaining such leadership, leadership required to advance a new progressive movement.     

An evaluation of progressively increasing intertrial intervals on the acquisition and generalization of three social skills

We evaluated the effects of different intertrial intervals (ITIs; time between programmed learning opportunities) on the acquisition and generalization of 2 preschoolers' social skills. Independent and generalized skills were observed only when the daily ITI was gradually increased from short to progressively longer intervals.     

Immediate postsession feeding reduces operant responding in rats

Three experiments investigated the effects of immediate and delayed postsession feeding on progressive-ratio and variable-interval schedule performance in rats. During Experiments 1 and 2, immediate postsession feeding decreased the breakpoint, or largest completed ratio, under progressive-ratio schedules. Experiment 3 was conducted to extend the results of the first two experiments to responding maintained by variable-interval schedules with different session lengths (15 and 60 min). Response rates decreased in all 4 subjects when postsession feeding immediately followed a 15-min session and in 3 of 4 subjects when postsession feeding immediately followed a 60-min session. The implications of this research are twofold: (1) The functional context in which within-session reinforcers are embedded extends outside the experimental chamber, and (2) supplemental postsession feedings should be sufficiently delayed from the end of a session to avoid weakening operant behavior in the experimental sessions.     

The neural basis of syntactic deficits in primary progressive aphasia

Patients with primary progressive aphasia (PPA) vary considerably in terms of which brain regions are impacted, as well as in the extent to which syntactic processing is impaired. Here we review the literature on the neural basis of syntactic deficits in PPA. Structural and functional imaging studies have most consistently associated syntactic deficits with damage to left inferior frontal cortex. Posterior perisylvian regions have been implicated in some studies. Damage to the superior longitudinal fasciculus, including its arcuate component, has been linked with syntactic deficits, even after gray matter atrophy is taken into account. These findings suggest that syntactic processing depends on left frontal and posterior perisylvian regions, as well as intact connectivity between them. In contrast, anterior temporal regions, and the ventral tracts that link frontal and temporal language regions, appear to be less important for syntax, since they are damaged in many PPA patients with spared syntactic processing.