论医疗行为中的“可容性危险”原则

对合法的医疗行为进行认定,分析医疗的局限性和社会认知差异,认为在医疗活动中,为谋求对疾病认识,应允许医疗活动带有危险性。对可容性危险原则进行法理分析,结合实际案例,分析医疗行为中的“可容性危险”原则的运用以及司法界对该原则的认知。     

文章标记对高一学生阅读理解的影响

采用测验法,以64名高中一年级学生为被试,探讨文章标记对不同阅读水平学生的回忆成绩和问题解决的影响.结果表明:(1)不同阅读水平读者回忆成绩上的文章标记效应不显著;(2)文章标记对于不同阅读水平学生的问题解决都具有显著的影响作用;(3)不同阅读水平读者的回忆和问题解决成绩存在显著差异.     

Incivility at work,upset at home? Testing the cross‐level moderation effect of emotional dysregulation among female nurses from primary health care

Workplace incivility is a growing problem in nursing. However, most studies that explore this psychosocial risk and its consequences do so considering a single level and a between‐person perspective. The aims of the study were to explore whether the effects of experiencing incivility during work‐time could explain the daily levels of well‐being of nurses at home; and to analyze if that relationship could be moderated by their levels of emotional dysregulation as a trait. This is a multilevel study with diary methodology. The study was carried out in 18 primary health‐care centers belonging to Madrid and the Basque Country, in Spain. Ninety‐four nurses completed a general questionnaire and 54 of them a diary booklet over five consecutive working days in two different moments, immediately after work and at bedtime. The results showed that nurses’ emotional dysregulation moderated the relationship between daily workplace incivility and daily fatigue, and positive affect at night at home. However, there were no direct effects of daily incivility on these outcome variables. In conclusion, the presence of difficulties in emotional regulation among nurses can increase the negative effects of daily workplace incivility on their health and well‐being.     

Time for change: using implementation intentions to promote physical activity in a randomised pilot trial

Objective: A common barrier to exercise is a perceived lack of time. The current pilot study examined the effects of an implementation intention intervention to enhance exercise self-efficacy, increase confidence to exercise when facing time constraints, and increase physical activity in middle-aged adults (n?=?63, aged 35–69). Design: Participants received a pedometer (Fitbit) to objectively measure activity and were randomly assigned to either a control or intervention condition. After a 1-week baseline, the intervention condition received instructions to plan how, where, and when they would add steps to their daily routine to meet their step goal, using personalised schedules and maps. Both groups were contacted nightly via email. Main Outcome Measures: Physical activity (steps and time spent in moderate-to-vigorous activity), goal achievement, exercise self-efficacy, time-relevant exercise self-efficacy and affect. Results: Compared to the control, the intervention condition significantly increased in steps, time spent in moderate-to-vigorous activity, and time-relevant exercise self-efficacy. Goal achievement was related to greater time-relevant exercise self-efficacy and more positive affect at the daily level. Conclusion: Findings suggest that the personalised planning intervention increased physical activity and confidence in achieving physical activity goals under time constraints. Avenues for future directions, especially for producing more sustained effects, are discussed.     

Social support and verbal interaction are differentially associated with cognitive function in midlife and older age

Social engagement is associated with healthy aging and preserved cognition. Two dimensions of engagement, verbal interactions and perceived support, likely impact cognition via distinct mechanistic pathways. We explored the cognitive benefit of each construct among enrollees (N = 1,052, mean age = 60.2 years) in the Wisconsin Registry for Alzheimer’s Prevention study, who provide neuropsychological and sociobehavioral data at two-year intervals. Outcomes included six cognitive factor scores representing key domains of executive function and memory. Key predictors included self-reported perceived social support and weekly verbal interaction. Results indicated that after adjusting for lifestyle covariates, social support was positively associated with Speed and Flexibility and that verbal interactions were associated with Verbal Learning and Memory. These findings suggest that support, which may buffer stress, and verbal interaction, an accessible, aging-friendly form of environmental enrichment, are uniquely beneficial. Both are integral in the design of clinical and community interventions and programs that promote successful aging.     

Intelligent digital image firewall system for filtering privacy or sensitive images

As the commonest part of social networks, sharing images in social network not only provides more information, but also gives more intuitive view than text. However, images also can leak out information more easily than text, so the audit of image content is particularly essential. The disclosure of a tiny image, which involves sensitive information about individual, society even the state, may trigger a series of serious problems. In this paper, we design a kind of intelligent image firewall to detect and filter sensitive or privacy images. Two different approaches of the firewall are proposed. In the first approach, we propose an image firewall based on joint sparse representation, which can provide accurate and robust privacy prediction, and also can provide rich spatial relationship information. In the second approach, we propose a method based on the deep learning (Faster RCNN), which can predict the privacy relationships or actions (like kiss, hug and hand in hand) among the persons of an image. Experimental results show the effectiveness of the two kinds of approaches.     

自我信息的反应抑制优势：来自神经振荡的证据

为探明个体对自我信息的反应抑制神经机制,记录了被试在完成面孔识别的停止信号任务时的脑电信号。神经振荡结果显示,反应任务中,加工自我面孔引发了更大的同步化δ节律和去同步化β节律;停止任务中,自我面孔引发了更大的去同步化β节律,特别在大脑前额区和中线上。表明,自我信息的反应抑制优势发生在抑制控制阶段,在于增强的β节律的去同步化促进了运动准备,提高了后续的动作抑制的速度。     

Carry-over effect between diet and physical activity: the bottom-up and top-down hypotheses of hierarchical self-efficacy

Healthy diet and physical activity have consistently been found to be positively correlated; however, most health behavior theories are focused on regulation of changes in single, rather than multiple, behaviors. Thus, this study explored the mechanism of the carry-over effect between diet and physical activity by conducting a longitudinal study with 706 participants to test the bottom-up and top-down hypotheses of hierarchical self-efficacy (SE). At Time 1 (baseline) and Time 3 (4 weeks after baseline), dietary behavior, physical activity, and self-efficacies of these behaviors (at the contextual level) were measured, while at Time 2 (2 weeks after baseline), general SE (at the general level) was assessed. Mediation analysis and structural equation models supported both the bottom-up and top-down hypotheses for different levels of self-efficacies, suggesting that hierarchical SE is an important factor underlying the carry-over mechanism between diet and physical activity.     

Association of hypertension-related distress with lack of self-care among hypertensive patients

Research on factors associated with poor adherence to self-care focuses primarily on psychiatric emotional disorders such as depression and anxiety, whereas non-psychiatric chronic-disease-related emotional distress has received little attention in hypertensive patients. The objective of this study was to evaluate the association of hypertension-related distress with the lack of self-care including low adherence to pharmacological treatment, lack of regular physical activity, low intake of fruits and vegetables and frequent intake of high-salt foods. A cross-sectional survey was conducted in 2014 in two family medical units affiliated with the Mexican Institute of Social Security. The study included 487 hypertensive patients >19 years of age. The conceptual framework for the study was based on the Health Promotion Model. The analysis included multiple Poisson regression models. We found that 21.1% of participants had hypertension-related distress. Low adherence to pharmacological treatment was identified in 45.8% of patients, whereas 46.8% lacked regular physical activity, 30.8% reported a low consumption of fruits and vegetables, and 54.6% frequently consumed foods high in salt content. Hypertension-related distress was associated with lack of regular physical activity and low intake of fruits and vegetables. These findings highlight the importance of addressing distress in order to improve self-care of hypertensive patients.     

Test–retest reliability of the Brunel Lifestyle Physical Activity Questionnaire

ObjectivesTo establish the test–retest reliability of planned physical activity (PPA) and unplanned physical activity (UPA) components of the Brunel Lifestyle Physical Activity Questionnaire (BLPAQ). To provide evidence of the BLPAQ's stability using the proportion of agreement (PoA) method over a 5-week period.DesignTest–retest over a 5-week period using three diverse samples of adults.MethodsThe 277 participants were subdivided into three adult samples: gymnasium users (n = 80), undergraduate students (n = 111), and university staff members (n = 86). They were asked to complete the test–retest measure in their places of exercise, study, or work respectively.ResultsCorrelation coefficients between test–retest administrations were calculated for each participant group and intraclass correlations were calculated for each item. Pearson's product-moment correlations ranged from r = 0.95 to r = 0.96 for the PPA subscale and r = 0.93 to r = 0.98 for the UPA subscale. Intraclass correlations ranged from R = 0.52 to R = 0.99 for PPA and R = 0.87 to R = 0.99 for UPA. Fisher's z tests indicated that the test–retest correlation coefficients for the BLPAQ subscales were, on the whole, significantly stronger than those of older, comparable subscales from lifestyle physical activity questionnaires. The PoA analysis for each item revealed that the test–retest administrations were in high agreement (>95%).ConclusionsOverall, the PPA and UPA factors of the BLPAQ demonstrated high reliability and stability. The present study also illustrates the utility of PoA analysis in establishing the stability of physical activity measures.