The Dialogue between Science and Religion and the Dialogue between People of Different Faiths: Areopagus Revisited

Christianity finds itself in a new situation, one that resembles its first-century experience in that it will be shaped by a new dominant world culture. This culture is marked by three factors-the economy, the multireligious situation, and science. The author's discussion deals with the issues that arise in this engagement with culture under three rubrics: dialogue between science and religion, globalization of the religious encounter, and interreligious dialogue in a globalized world. The major assertions are: (1) Science and religions must avoid restrictive and expansionist relationships and work for reciprocal interaction. (2) Globalization is an unavoidable, but ambiguous, historical development; religions should reject responses of "ethnification" and "primitivism" and rather engage in strategies that encourage both productive encounter and critical distance. (3) Interreligious dialogue includes dialogues of life, of intellectual exchange, of religious experience, of common action, and of confrontation; this dialogue will seek to embrace truth (which involves science) and wisdom (which includes the various religious traditions) in the reciprocal interaction that is marked by love.     

Behavior Genetics: What's New? What's Next?

What's new in behavior genetics? With widespread acceptance that nearly all behavioral variation reflects some genetic influence, current studies are investigating developmental changes in the nature and magnitude of genetic and environmental effects, the extent to which different behaviors are influenced by common genes, and different forms of gene-environment correlation and interaction. New designs, focused on assessment of unrelated children in the same households or neighborhood environments, and use of measured environmental variables within genetically informative designs, are yielding more incisive evidence of common environmental effects on behavior. What will be next? Behavior genetic techniques and analyses will be used to inform efforts to find genes altering susceptibility for disorder and dispositional genes affecting behavioral variation. The developing integration of behavioral and molecular genetics will identify genes influencing specific behavioral variation and enhance understanding of how they do so. Psychologists will play a pivotal role in communicating that understanding to the public and in facilitating consideration of the inevitable ethical issues then to be confronted.     

高血压个体化治疗的哲学思考

高血压病是全球范围内最常见的心血管系统疾病,其发病率,死亡率和致残率高,是严重危害人们健康的疾病之一。高血压个体化治疗是根据患者的具体情况,选择适宜的药物和治疗方案,从而达到最有利于患者的治疗效果。从哲学的角度对高血压个体化治疗的依据。目的和措施进行综合分析。     

Family Interaction Patterns as Predictors of Vocational Identity and Career Decision-Making Self-Efficacy

The present study explored the relations of perceived family-of-origin interaction patterns (e.g., quality of family relationships, family-supported goal orientations, and degree of control and organization in the family) to vocational identity and career decision-making self-efficacy. A sample of 210 college students completed family-of-origin and vocational self-report measures. Using standard multiple regression analyses, significant variance was accounted for in vocational identity scores by achievement orientation in the family. Significant variance in career decision-making self-efficacy scores was accounted for by a number of family variables including achievement, intellectual-cultural, and moral-religious emphasis orientations and degree of family conflict and expressiveness. The findings suggest that family-of-origin interaction patterns may play small, yet significant roles in the formulation of clear and stable career goals and the promotion of self-confidence in regard to completing career planning activities. These findings warrant further empirical examination of the family systems approach to young adult career development.     

Antidepressant discontinuation in the context of cognitive behavioral treatment for panic disorder.

Cognitive behavioral treatment (CBT) has been shown to reduce risk for adverse reactions (e.g., rebound panic) following benzodiazepine taper for patients with panic disorder (PD). This study evaluated the effects of antidepressant discontinuation for patients with PD in the context of CBT. Patients with PD (n=21) on a stable dose of antidepressants completed a 12-week group CBT treatment and were randomly assigned to discontinue antidepressants during week 8 of the treatment. There were no statistically significant differences between groups at posttreatment or 6-month follow-up. Data indicate no apparent immediate or long-term adverse effects for antidepressant discontinuation for patients with PD receiving CBT.     

Measured Gene–Environment Interactions and Mechanisms Promoting Resilient Development

ABSTRACT— Childhood maltreatment elevates risk for antisocial behavior, depression, and other problems over the life span, but a subset of maltreated individuals avoids maladaptive development and shows resilience. Resilience reflects a dynamic confluence of factors that promotes positive adaptation despite exposure to adverse experiences. Recent replicated findings of gene–environment interactions (abbreviated G × E) involving maltreatment have identified two genes, monoamine oxidase A ( MAOA ) and serotonin transporter ( 5-HTT ), that moderate the association between childhood maltreatment and psychopathology. Accordingly, G × E raise new questions about potential biological mechanisms by which some individuals are able to cope adaptively and function relatively well despite experiencing early adversity. We summarize advances toward greater specification of G × E mechanisms, including genetic and environmental moderation of G × E effects and imaging genomics that provide clues regarding resilience processes in development.     

关注心房颤动的临床治疗决策

心房颤动发生率很高,我国为0．77％,估计有1000万患者。房颤分类为初发房颤、阵发性房颤、持续性房颤和永久性房颤。房颤病因众多,包括高血压病、心肌病、心衰、甲亢及冠心病等。房颤危害严重,房颤引发卒中高出5倍,房颤促进或加重心衰,房颤增加痴呆2倍。房颤增加病死率,严重降低患者生命质量。房颤治疗决策主要恢复正常窦性心律,并预防其复发和控制心室率与抗凝治疗预防血栓事件。     

1例妊娠合并急性白血病患者带来的分析与思考

通过对1例妊娠合并急性白血病患者的病例资料进行回顾分析,从孕期化疗的特点来探讨其终止妊娠及进一步化疗治疗的时机与方式,以及从该患者治疗和妊娠之间的矛盾来讨论医生在母体和婴儿生存权益的重要性,总结出医护人员的人性化与职责,深入伦理学思考临床医生对类似患者的最佳治疗应该作出的判定与决策,从而有利于构建和谐社会。     

如何才能保持拉米夫定的疗效及降低耐药——临床优化治疗策略

探讨拉米夫定的临床优化治疗策略,包括选择适用人群,用药最佳时机,预防和应对耐药的方法。旨在提高和保持拉米夫定在慢性乙型肝炎抗病毒治疗的效果。     

系统论方法在糖尿病性视网膜病变危险因素及治疗研究中的应用

全球糖尿病患者人数在不断的增多,大约10％的Ⅰ型糖尿病患者在10年后可出现糖尿病性视网膜病变,而大约95％的Ⅱ型糖尿病患者在20年后可出现糖尿病性视网膜病变。目前,糖尿病性视网膜病的发病机制尚不明确,影响其发生发展的因素也很复杂,因此,对糖尿病性视网膜病的发病危险因素及其诊治的研究,具有相当重要的意义。系统论,研究各种物质运动形态所共有的系统联系和关系,具有普遍的方法论意义,为现代医学的进步提供了全新的思维方式和科学方法论原则。本文试用系统论的整体性、优化原理阐述糖尿病性视网膜病变发病的危险因素与治疗进展,为对其深入研究提供方法论依据。