适宜技术选择中的利益冲突及其化解途径

适宜技术的选择要考虑简、便、廉、验,要从大多数患者的需求出发,要始终定位在医患等利益关系的结合点上,它是一种动态发展的技术或技术体系。然而,正是基于各种利益的结合点,在实际选择适宜技术中常常因为利益冲突的多主体性而变得复杂多样,并衍生出各种各样的利益冲突。分析利益冲突的产生根源对于寻求利益冲突的化解途径具有重要意义,同时也为各种途径提供了理论支持。     

制约我国“新型农村合作医疗”可持续发展的因素及对策

论文分析了我国“新型农村合作医疗”在实行过程中存在的制度推行难、基金筹集难、有效管理难等问题,讨论了制约其可持续发展的因素:观念因素、体制因素、道德因素、管理因素,并提出相应了更新观念,政府主导,创新体制,加强立法等对策。     

人体器官商业化之争:误区和对策

当前,关于人体器官可否商业化之争中存在两个误区：器官商业化的概念误区和反对非法器官交易的措施误区。要想在禁止器官商业化的前提下切实有效地增加器官来源,应在法学上和伦理学上明确人体器官的性质;明确界定器官商业化的概念和范围;制定相关法律和配套措施,倡导自愿无偿捐献,允许有偿捐献,严厉打击器官移植犯罪。     

对当前我国股市投机的道德思考

股市道德是对股市运行的能动反映,在一定范围内又能够起到规范股市运行,促进股市发展的作用。目前,我国股市运行中的投机问题极为突出。因此,从道德的角度对其加以剖析并寻求解决的对策无疑是必要的。     

学业受挫大学生心理健康情况调查及大学生学业受挫成因与对策研究

目的：了解学业受挫大学生心理健康情况,掌握学业受挫大学生心理异常发生比率,寻找帮助大学生走出学业困境的方法。方法：以408名学业不及格大学生为研究对象,进行Symptom Check—List 90测试,检查学业受挫大学生心理异常发生比率;同时配合以自制的问卷调查表进行问卷调查,了解大学生学业受挫的成因及大学生学业受挫后的心理状况。结果：学业受挫大学生心理异常发生比率较高;不同补考次数学业受挫大学生心理健康状况存在差异;大学生学业受挫归因存在一定误区,学业受挫会给大学生带来种种不良心理反映。结论：学业受挫是导致大学生心理异常的原因,学业受挫给大学生带来的种种不良心理反映又是影响大学生再学习的重要原因,应帮助学业受挫大学生走出学业困境。     

耳蜗退行性病变疗效评价

耳蜗退行性病变所致疾病已成为影响人类生活质量的主要问题之一。本文从发病机制、影响因素、临床决策方面阐述耳蜗退行性病变的研究进展,为耳蜗退行性病变所致的耳聋、耳鸣等疾病的科学研究及临床对策制定提供参考。旨在干预耳蜗退行病变,降低其发生率,提高人们生活质量。     

Do Visually Salient Stimuli Reduce Children’s Risky Decisions?

Children tend to overestimate their physical abilities, and that tendency is related to risk for unintentional injury. This study tested whether or not children estimate their physical ability differently when exposed to stimuli that were highly visually salient due to fluorescent coloring. Sixty-nine 6-year-olds judged physical ability to complete laboratory-based physical tasks. Half judged ability using tasks that were painted black; the other half judged the same tasks, but the stimuli were striped black and fluorescent lime-green. Results suggest the two groups judged similarly, but children took longer to judge perceptually ambiguous tasks when those tasks were visually salient. In other words, visual salience increased decision-making time but not accuracy of judgment. These findings held true after controlling for demographic and temperament characteristics.     

Dimensions of driver anger, aggressive and highway code violations and their mediation by safety orientation in UK drivers

Aggressive behaviour on the roads is reported to be on the increase. This study administered Driving Anger Scale (Deffenbacher et al. (1994). Development of a driving anger scale. Psychological Reports, 74, 83–91.), the Driver Behaviour Questionnaire, and the Driving Skill Inventory to a sample of 270 British drivers. Factor analysis of the Driving Anger Scale items yielded three factors measuring anger generated by the reckless driving, direct hostility and impeded progress by others—contrary to the six subscales found with the original US sample. Younger drivers and low mileage drivers were more likely to exhibit all three types of driving anger, but no differences between male and female drivers were found. In addition, a driver’s safety orientation predicted (negatively) anger evoked by impeded progress and direct hostility whereas self-assessed perceptual-motor skills were positively related to anger generated by impeded progress. Both Highway Code and aggressive violations were significantly related to the anger factors, and, using the procedure by Baron and Kenny (Baron & Kenny (1986). The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.), the prediction of violating behaviour (Driver Behaviour Questionnaire) by reported anger was shown to be mediated by the self-assessed safety skill scale but not the perceptual-motor skill scale (Driver Skill Inventory), and moderated by neither. Implications for driver education countermeasures are noted.     

A rational-emotive group intervention for preventing and coping with stress among safety officers

A stress management and prevention workshop for nonclinical industrial workers using rational-emotive principles with 18 months followup is reported. Twenty-two senior safety officers participated in an intervention program of five weekly meetings aimed at improving cognitive skills and assertiveness mainly by decreasing irrational thought processes. We hypothesized an increase in assertiveness, and a decrease in irrational beliefs, and emotional and cognitive stress symptoms (manifested in somatic complaints and cognitive weariness). Assertiveness improved and somatic complaints and irrationality decreased in the short term. Eighteen months later, cognitive weariness was also reduced. The other improvements were still evident, but not to the same extent as short-term effects. Although the workshop improved rationality, further practice would be needed in the behavioral aspect of stress prevention to achieve long-term improvements in assertiveness.Talma Kushnir, Ph.D., is a social and medical psychologist at the Occupational Health and Rehabilitation Institute, Raanana, Israel, and teaches psychology and health promotion at the Tel-Aviv University Medical School.Ruth Malkinson, Ph.D., fellow and RET trainer and supervisor of the Institute for RET, and teaches at the School of Social Work and Medical School at Tel-Aviv University, Israel. Both authors contributed equally to this studyThis study was supported by the Committee for Preventive Action and Research in Occupational Health, The Ministry of Labor and Social Affairs, Jerusalem, Israel.The authors thank Estie Weisberg for her administrative assistance in organizing the workshops.     

The effect of widening longitudinal road markings on driving speed perception

Road markings may influence driver behavior, and therefore road safety. An increase in the width of road markings might lead drivers to perceive lanes to be narrower than they really are, creating the illusion of traveling faster. The objective of this paper is to analyze whether wider longitudinal road markings can affect the perception of lane width and thus induce drivers to slow down. To this end, three curves with reduced visibility were selected for a field experiment. The road markings were painted wider than normal, and video recordings were made with narrow and wide markings by a camera installed in a vehicle. A total of 14 videos were shown to each of the 185 participants; then a survey was carried out to analyze in which video the participants perceived higher speed. The results showed that if the participants perceived differences in speed, the higher speed was perceived with the wide markings. This perception of higher speed increased if the participant was female, or if the participant had ever had an accident. In view of the obtained results, it can be said that the use of wider road markings could help reduce vehicle speed, thus contributing to improved road safety.