适宜技术与诊疗最优化的可行性研究

在案例分析的基础上,作出了医生是临床诊疗中适宜技术的主要选择者的判断;论证了运用适宜技术实现诊疗最优化的可行性;认为适宜技术难以选择和实施的主要原因是利益关系、责任心不强和管理措施不到位;提出了必须着力培育适合于适宜技术生长的土壤的对策,即:实行政策引导与资金支持、进一步加大监管力度、营造良好的氛围、高度重视并加强医生道德素质的培养。     

Maximizing versus matching on concurrent variable-interval schedules

Maximization and matching predictions were examined for a time-based analogue of the concurrent variable-interval variable-ratio schedule. One alternative was a variable interval whose time base operated relatively independent of the schedule chosen, and the other was a discontinuous variable interval for which timing progressed only when selected. Pigeons switched between schedules by pecking a changeover key. The maximization hypothesis predicts that subjects will show a bias toward the discontinuous variable interval and undermatching; however the obtained results conformed closely to the predictions of the matching law. Finally, a quantitative comparison was made of the bias and sensitivity estimates obtained in published concurrent variable-interval variable-ratio analogue studies. Results indicated that only the ratio-based analogue of the concurrent variable interval variable ratio studied by Green, Rachlin, and Hanson (1983) produced significant bias toward the variable-ratio alternative and undermatching, as predicted by reinforcement maximization.     

Processing Demands During Movement

Subjects made a speeded stylus movement along a track to a stop and simultaneously performed a simple reaction-time task designed to assess the processing demands of the movement task. Movement task variables were: (a) number of alternative ending positions — either one or two — with the choice executed during movement, and (b) presentation time for the endpoint signals in the two-choice conditions, either prior to movement initiation (immediate) or during movement execution (delay). Processing demands were higher during all movement conditions than in a control condition that did not require movement. Processing demands during execution of the one-and two-choice movement with immediate signals did not differ. However, processing demands during the two-choice movements with delayed signals were higher than demands during the two-choice movement with immediate signals.     

Strategic Revenue Management under Uncertainty: A Case Study on Real Estate Projects in India

This paper proposes an approach for strategic revenue management under uncertainty for real estate projects. It integrates three modelling techniques: first, artificial neural network integrated support vector machines for forecasting the profit and loss‐making real estate residential projects; second, analytical network process approach using decision making trials and evaluation laboratory methodology for establishing interrelationships among factors; and third, multiobjective genetic algorithm approach for obtaining optimal numbers and types of apartments in a real estate project. We compare the respective revenues generated with the new number of apartments and price from the suggested revenue maximization model and that of the old practiced one through a case study of India. Copyright © 2015 John Wiley & Sons, Ltd.     

诊疗最优化原则的伦理学探析

讨论了诊疗最优化原则的伦理学意义:它充分体现了医学的宗旨、医学职业道德理想和对患者的无私关爱,有利于纠正医疗卫生行业的时弊,昭示着医疗卫生改革发展的方向。针对实践中遇到的阻力和困惑,作者提出了促进最优化原则实施的五点建议。     

工作场所文明行为：从内隐的自我提升到外显的组织优化

工作场所文明行为是一种在组织文化下, 基于社会和组织角色义务的, 传达礼貌和尊重的主动性行为, 是一种向内要求自我控制, 向外主张尊重传达的行为, 它对于个体自身性格的塑造、组织中人际关系的改善以及文明氛围的培养都具有积极意义。在员工-员工、领导-下属、员工-顾客等关系中, 工作场所文明行为发挥着增进同事情谊、促进合作、增强领导力、建立信任、提升绩效等作用。未来的研究应该进一步厘清工作场所文明行为与不文明行为的关系, 运用动态视角研究它们发生、发展和被感知的机制, 以及这两种行为能否相互转化等问题。     

慢性鼻窦炎治疗中的适宜技术和高新技术的最优化问题

鉴于对慢性鼻窦炎认识的转变和随之发生的治疗手段的改进,遵循循证医学的原则,灵活选用和组合适宜技术与高新技术十分必要,以期达到慢性鼻窦炎治疗的最优化.     

食管癌内镜技术最优化原则的思考

随着消化内镜及其配件的不断更新和内镜医师操作技术的进步,消化内镜在食管癌的应用从诊断为主发展到诊断与治疗并重.回顾历史,医疗需求是医学科学进步的强大动力,科学技术进步推动医学的发展,内镜技术的发展促进了食管癌诊断与治疗水平的最优化.     

Optimal Partitioning of Testing Time: Theoretical Properties and Practical Implications

This paper deals with optimal partitioning of limited testing time in order to achieve maximum total test score. Nonlinear optimization theory was used to analyze this problem. A general case using a generic item response model is first presented. A special case that applies a response time model proposed by Wang and Hanson (2005) is also presented. Theoretical properties of the optimal solution are derived. Their practical implications to optimal test-taking strategies are also discussed. The theoretical properties are in general agreement with the conventional advice to the examinees on pacing strategy.     

下腰痛综合征的诊治与人文思想

下腰痛是一种常见的骨科病症,轻者可影响患者生活,重者可使患者丧失劳动力。它的发病原因有很多,治疗方法各有不同。在下腰痛的诊断中要按照适度医疗的原则选择合适的检查;在下腰痛的治疗中须按照最优化医疗的原则选择最佳的治疗方案。在治疗中要注意结合人文思想来提高下腰痛的治疗效果。