骨科新进展与教学补充内容的选择

骨科新技术新理论发展迅速,而教科书的内容相对滞后,在教学中为兼顾新知识和教科书内容,采取适当补充短小精练内容的方法,对四肢骨折、脊柱、肿瘤等内容进行补充讲解,并在某些地方加入一些现代医学伦理方面的知识,使学生能更全面地了解骨科,而不增加学生的负担.     

ART临床应用伦理调控的特点

解决ART应用中引发的伦理问题、难题的基本对策之一是加强医学伦理调控 ,推进医学伦理精神对医学过程的渗入 ,ART医疗机构伦理委员会是医学伦理调控体制化的表现和实现这种调控的重要途径 ,它以特定的主体形式和审查、咨询、教育、督查、建议等活动方式 ,形成对调控对象某种监督的客观效果。     

Laboratory of functional neuroelectrical imaging and brain–computer interfacing at Fondazione Santa Lucia

The laboratory of functional neuroelectrical imaging and brain–computer interfacing at Fondazione Santa Lucia is based on the joint work of researchers with a bioengineering and clinical neurophysiology background. The activity is mainly devoted to two aims: the non-invasive investigation of the motor cortical function under physiological and pathological conditions, through the development of advanced processing methods of the electroencephalographic signals; the development of a real-time EEG-based brain–computer interface (BCI) and the study of its use as an aid to enhance (or even to allow) the functional independence of persons with different degrees of motor disability.     

关于人类克隆的哲学思考

总结了8年来人们反对生殖性克隆人的主要理由,分析了反对人类生殖性克隆及支持治疗性克隆的理由的合理性,揭示了克隆人争论给我们的启示.     

进化观点下的幸福研究

人类社会生活的一项重要目标是追求幸福(happiness), 影响幸福体验的因素有食物、财富、婚姻及友谊等。寻求幸福与避免痛苦能让人们的幸福需求得到满足。幸福和痛苦不是人类通过进化获得的一种最终机能, 然而幸福和痛苦对人类远古祖先的影响在于调节行为活动以增加生存与繁衍可能。为什么有些环境刺激比其他刺激更能让人体验幸福？为什么回避痛苦与追求幸福同样重要？为什么幸福体验有相对性、过度性与目标性的特点？这些问题可以在进化观点中得到较好回答。人们的幸福感可以在认识基因与环境关系的基础上得到加强, 如加强亲属联系、强化社会合作、重视婚姻承诺以及满足本能欲望等。     

女性选择辅助生殖技术的文化动力

在现代医学的语境中,女性的身体究竟是什么?是被当作肉体还是视作活生生的身体?这在很大程度上影响着女性的地位和命运。辅助生殖技术迎合了社会的主流需要,使女性的身体客观化为肉体,女性作为活生生的身体已被淡漠和遗忘。辅助生殖技术只有成为女性的自主选择才是合理的。     

Long-acting reversible contraception: A route to reproductive justice or injustice

This article presents information on unintended pregnancies and the ongoing efforts of policy makers to promote long-acting reversible contraception (LARC) to reduce the numbers of such pregnancies. Also discussed is the tension between the encouragement of LARC to promote the public's interests in achieving that goal versus the need to assure that all women can decide about their bodies and reproductive needs. Our discussion includes information, primarily from the United States, on (a) risks associated with unintended pregnancies, (b) LARC devices approved in the United States (copper intrauterine devices (IUDs), hormone IUDs, and implants), (c) public and social benefits of increasing the use of LARC, (d) disadvantages and barriers to using LARC, (e) dangers of promoting LARC in unjust ways, and (f) the meaning of reproductive justice and its connection to social justice. By sharing the information with the audience of this journal, we hope that it will be integrated into clinical work and research on mental health and development. We also hope that experts in those fields will become discussants in the conversation regarding women's reproductive health and social justice that is taking place in the United States and elsewhere.     

Le modèle d’acceptation des technologies depuis 1986 : 30 ans de développement

This article is a theoretical analysis of the use of the technology acceptance model (TAM) and synthesizes the results of twelve literature reviews and meta-analyses. We analyzed their content according to four thematic axes: the validity of the TAM, the evaluation of the role of each of its variables, the influence of external variables and moderators and the intellectual development of the TAM. The literature globally confirms the reliability of each of the variables in the TAM and the relevance of the relationships between these variables. However, weaknesses are noted and recommendations made for future research, such as the inclusion of more contextual information on the use of technologies and on participant characteristics, as well as additional various measurement methods of use and their benefits. A notable difference has been identified in the relationship between TAM's variables and the objective and subjective measures of the actual use of technologies. In addition, objective measures have been included in few practical studies, but have generally included small samples. Another weakness of the TAM is its significantly lower capacity to predict the volume (time spent on use over a given period), as well as the frequency of use (number of uses over a given period) of a technology, compared to the simple prediction of use.     

Correlates and stability of alternate stimuli in a computer-based measure of inspection time

Inspection time tasks assess the ability to make a simple visual discrimination, typically in milliseconds. Typically, IT stimuli consists of a pi-shaped figure, in which subjects select the side with the significantly longer leg. To prevent storage in iconic memory, a backward mask is then introduced. However, some participants have reported that the mask may cause the shorter leg to appear to lengthen, creating a possible strategy that facilitates performance. As a result, alternative stimuli/masks have been developed; however, these alternative stimuli may be processed differently. This study assessed the cognitive correlates and stability of an alternative stimuli/mask. Results indicated that processing of the stimuli was influenced by an interaction between the complexity of the stimuli and the number of times it was presented. Specifically, the alternative stimulus/mask produced slower processing, particularly at the time of a second administration; however, it contributed an important and unique relationship with speeded, general intelligence.     

Depression in the Context of Disability and the “Right to Die”

Arguments in favor of legalized assisted suicide often center on issues of personal privacy and freedom of choice over one's body. Many disability advocates assert, however, that autonomy arguments neglect the complex sociopolitical determinants of despair for people with disabilities. Specifically, they argue that social approval of suicide for individuals with irreversible conditions is discriminatory and that relaxing restrictions on assisted suicide would jeopardize, not advance, the freedom of persons with disabilities to direct the lives they choose. This paper examines the idea promoted by some proponents of assisted suicide that it is reasonable to be depressed about one's diminished quality of life in cases of irreversible illness or disability and, therefore, such depression should not call into question the individual's competence to request assistance in dying. The concept of rational depression is defined and examined in the context of: four real-life cases involving individuals with disabilities who requested assistance in dying; a set of criteria commonly applied to decision-making to determine rationality; and research bearing on the emotional status of people with disabilities. It is concluded that although disability is associated with particular socially mediated stressors, there is no theoretical or empirical evidence to indicate that depression and its role in the right to die is dynamically different, more natural, or more reasonable for disabled people than for non-disabled people.