重庆市城乡卫生资源配置现状及对策研究

城镇化是当前的热点问题，而城镇化中的卫生问题引起了学界的广泛关注。重庆是西部唯一的直辖市和国家中心城市，自身具有大城市带大农村的典型城乡二元结构特征，对重庆市城镇化过程中城乡卫生资源配置现状及对策的研究对全国其他省市具有借鉴意义。本文运用文献查询和专家咨询法，对主要卫生指标进行对比分析，运用基尼系数评价城乡、区域间卫生资源配置的公平性，针对存在的主要问题，提出建议。     

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.     

Affective influences on within-person changes in work performance as mediated by attentional focus

A great deal of research has investigated the performance consequences of affective experiences at work, but the mediating mechanisms that explain these consequences remain understudied. In this study, we used experience sampling method to examine within-person relationships between changes in affective states and episodic performance, as mediated by attentional allocation and regulation. Our findings show that within-person changes in negative affective states have a concurrent association with episodic performance as mediated by reduced attentional allocation and regulation, while positive affective states are associated with better performance, as mediated by enhanced attentional allocation and regulation. Our results are discussed in terms of their implications for understanding the performance and attentional consequences of affective states at work.     

Uterus Transplantation: The Ethics of Using Deceased Versus Living Donors

Research teams have made considerable progress in treating absolute uterine factor infertility through uterus transplantation, though studies have differed on the choice of either deceased or living donors. While researchers continue to analyze the medical feasibility of both approaches, little attention has been paid to the ethics of using deceased versus living donors as well as the protections that must be in place for each. Both types of uterus donation also pose unique regulatory challenges, including how to allocate donated organs; whether the donor / donor's family has any rights to the uterus and resulting child; how to manage contact between the donor / donor's family, recipient, and resulting child; and how to track outcomes moving forward.     

Natural Disasters in Indonesia: Relationships Among Posttraumatic Stress,Resource Loss,Depression, Social Support,and Posttraumatic Growth

ABSTRACT

Indonesia is at significant risk for catastrophic natural disasters, including earthquakes, volcanic eruptions, and tsunamis. Few studies have examined psychological functioning following disaster exposure in Indonesia, the fourth most populous country in the world. This study assesses variables associated with posttraumatic stress and posttraumatic growth following a devastating earthquake in Central Java that ranks as one of the costliest in Indonesia. The participants were 85 men and women living in rural farming villages. Almost all (95%) experienced major home damage or total home destruction. Posttraumatic stress symptoms were associated with resource loss, depression, and concerns about future earthquakes. Participants reported moderate posttraumatic growth. Posttraumatic growth was associated with energy resource loss and social support. The findings support conservation of resources stress theory. The implications of the findings for intervention and recovery programs are discussed.     

A Comprehensive Decision Approach for Rubber Tree Planting Management in Africa

The main objective of this study is to settle a rigorous field of decision analysis for rubber tree clones selection. Nowadays, there does not exist any process based upon a rigorous method to select the best clone to be plant in order to get the highest return on investment. The only known selection method is to use the experience of different protagonists acting in the plantation. So, we need a tool that takes into account very important criteria in order to achieve the main objective. This goal is achieved by using multicriterion analysis methods to the clone selection. The ranking procedure uses Elimination and Choice Expressing the Reality (ELECTRE III). For each criterion, indifference and preference thresholds are determined after establishing the relative importance of each criterion including rubber tapping, cumulative production during 15 years, cumulative production between 15 and 25 years, wind resistance, disease resistance, physiological resistance, grafting and quality of the rubber. Copyright © 2011 John Wiley & Sons, Ltd.     

Cognitive Load and the Equality Heuristic: A Two-Stage Model of Resource Overconsumption in Small Groups

Two studies were conducted to test a two-stage model of the psychological mechanisms underlying the overconsumption of scarce resources in small groups. The model proposes that members of groups sharing resources first anchor their consumption choices on an “equal-division” heuristic and then, given sufficient cognitive capacity, adjust their choices in a self-serving direction. The results from both studies support the model. The first study found that when faced with a common resource pool almost all group members expressed thoughts regarding equality; however, individuals with sufficient cognitive capacity requested more from the pool and expressed more task-relevant thoughts than individuals lacking the necessary cognitive resources. The second study provided additional support for the two-stage model by demonstrating that group members' cognitions occur in the order predicted by the model and by demonstrating that an individual difference, social value orientation, affects thought processes only when individuals are not experiencing high cognitive loads. Implications are discussed.     

The supplementary motor area in motor and perceptual time processing: fMRI studies

The neural bases of timing mechanisms in the second-to-minute range are currently investigated using multidisciplinary approaches. This paper documents the involvement of the supplementary motor area (SMA) in the encoding of target durations by reporting convergent fMRI data from motor and perceptual timing tasks. Event-related fMRI was used in two temporal procedures, involving (1) the production of an accurate interval as compared to an accurate force, and (2) a dual-task of time and colour discrimination with parametric manipulation of the level of attention attributed to each parameter. The first study revealed greater activation of the SMA proper in skilful control of time compared to force. The second showed that increasing attentional allocation to time increased activity in a cortico-striatal network including the pre-SMA (in contrast with the occipital cortex for increasing attention to colour). Further, the SMA proper was sensitive to the attentional modulation cued prior to the time processing period. Taken together, these data and related literature suggest that the SMA plays a key role in time processing as part of the striato-cortical pathway previously identified by animal studies, human neuropsychology and neuroimaging.     

Construal level among poor children: Executive function implications

Poverty impedes children's executive function (EF). Therefore, it is necessary to mitigate the negative effect of poverty by developing efficient interventions to improve poor children's cognitive function. In three studies, we examined whether high-level construals can improve EF among poor children in China. In Study 1, we observed a positive relationship between family socioeconomic status and children's EF, which was moderated by construal level (n = 206; M_age = 9.71; 45.6% girls). In Study 2a, we experimentally induced high- versus low-level construals and found that poor children with high-level construals exhibited better EF than those with low-level construals (n = 65; M_age = 11.32; 47.7% girls). However, the same intervention did not affect the performance of affluent children in Study 2b (n = 63; M_age = 10.54; 54% girls). Moreover, we found that the interventional effects of high-level construals improved the ability of children living in poverty to make healthy decisions and delayed gratification in Study 3 (n = 74; M_age = 11.10; 45.9% girls). These findings may have implications for using high-level construals as an effective intervention to improve poor children's EF and cognitive capacity.