从中药的安全性谈中药产业的危机管理

药物的安全性是药物评价的首要标准。《欧盟传统药品法案》对中药的技术壁垒和我国对某些中药的毒副作用的披露,使得中药的安全性问题日益突出,使得中药产业面临前所未有的危机。对中药安全性的理性认识是扩大其国内市场占有率、走向国际市场所必须突破的瓶颈,也是中药产业危机管理的必由通道。这是一场深刻的文化革命。     

INCREASING SEAT BELT USE ON A COLLEGE CAMPUS: AN EVALUATION OF TWO PROMPTING PROCEDURES

Seat belt use is an important factor in the prevention of automobile accidents involving injuries and fatalities. The current study used a multielement design to compare the “Click It or Ticket” and “Please Buckle Up—I Care” procedures. Results indicate that the Click It or Ticket prompt resulted in a 20‐percentage‐point increase in seat belt use, and Please Buckle Up—I Care resulted in a 14‐percentage‐point increase.     

PREVENTING BACK INJURIES IN HOSPITAL SETTINGS: THE EFFECTS OF VIDEO MODELING ON SAFE PATIENT LIFTING BY NURSES

This study evaluated video scoring and feedback about scoring as a safety intervention among 6 nursing staff. The dependent variable was safety behavior on one‐person transfers. Following baseline, 5 nursing staff participated in an information phase. A video scoring phase was then introduced for all 6. A feedback phase was added for 2 participants. All participants experienced treatment withdrawal. Information resulted in improvements for all 5 participants who received it. Further improvements were observed during video scoring for the 5 participants who improved following information. No improvements were observed for the participant who received only video scoring. Safety feedback further improved safety for the 2 participants who received it. However, participants' behavior returned to video scoring levels during withdrawal.     

Student interracial interactions and perceptions of school as a community

Communally organized, as opposed to bureaucratically organized, schools are expected to provide significant advantages to students in terms of their cognitive and social growth. However, for students to avail themselves of these benefits, they need to experience school as a community. One factor that may influence whether students view their school as a functional community is the kind of teacher–student and peer interactions they observe or personally experience. This study examines the effects of positive and negative interracial interactions on whether students sense that their school is a community. Analysis of a large sample of elementary and secondary schools in a major urban school district show that positive interracial interactions contribute to students’ sense of school community while negative actions inhibit that sense.

团队决策及其影响因素

随着组织结构的变化,团队决策为越来越多的组织所采用。该文将团队决策的研究范式概括为以下四类：社会决策图式（social decision scheme, SDS）、信息取样模型（information sampling model）、项目排序任务（ranking item task）团队以及组织中以安全优先的团队（safety priority team）;并从影响团队决策的因素,提高团队决策质量的策略等角度分别对四类团队决策的研究进行探讨,在此基础上本文对未来研究进行了展望     

Stimuli inevitably generated by behavior that avoids electric shock are inherently reinforcing.

A molecular analysis based on the termination of stimuli that are positively correlated with shock and the production of stimuli that are negatively correlated with shock provides a parsimonious count for both traditional discrete-trial avoidance behavior and the data derived from more recent free-operant procedures. The necessary stimuli are provided by the intrinsic feedback generated by the subject's behavior, in addition to those presented by the experimenter. Moreover, all data compatible with the molar principle of shock-frequency reduction as reinforcement are also compatible with a delay-of-shock gradient, but some data compatible with the delay gradient are not compatible with frequency reduction. The delay gradient corresponds to functions relating magnitude of behavioral effect to the time between conditional and unconditional stimuli, the time between conditioned and primary reinforcers, and the time between responses and positive reinforcers.     

Heart-rate deceleration and smiling in 3-month-old infants

The relation between heart-rate deceleration and the expression of positive affect in infancy is examined by testing the hypothesis that intensity of orienting (as indexed by heart-rate deceleration) is predictive of intensity of positive affect (smile size and duration). A social-stimulation procedure was utilized to elicit smiles in 41 3-month-old infants. The first smile elicited was coded for smile size and duration, and the preceding heart-rate deceleration was coded for magnitude, duration, and slope of deceleration. Slope and duration of heart-rate deceleration proved to be reliable predictors of smile size, but none of the heart-rate measures correlated with smile duration. Results suggest that the steeper and more rapid the deceleration, the larger the ensuing smile. Possible mechanisms for this finding are discussed.     

A BEHAVIORAL SYSTEM FOR ASSESSING AND TRAINING CARDIOPULMONARY RESUSCITATION SKILLS AMONG EMERGENCY MEDICAL TECHNICIANS

Many deaths from cardiopulmonary arrest can be prevented by the prompt and effective administration of cardiopulmonary resuscitation (CPR). In this study, we examined the standard training program for teaching CPR to emergency medical technicians (EMTs). We developed an alternative experimental program whereby the behaviors involved in CPR were assessed easily and in greater detail. This assessment provided the basis for a system in which effective CPR skills were reinforced and problems were corrected. Subjects who were trained in CPR according to this experimental program performed more effectively than subjects in the standard program. In addition, retention (maintenance) measures indicated that experimental subjects continued to perform well, often more effectively than professionally employed EMTs.     

Behavioral determinants of mothers' safety measures to prevent injuries of pre-school children

Home-related injuries are a major threat to pre-school children in the western world. In this study the behavioral determinants of 18 parental safety measures were assessed. To select behavioral determinants, the Attitude-Social influence-Self-efficacy/barriers model was used with the inclusion of variables from the Health Belief Model and the Protection Motivation Theory. A written questionnaire was completed by 1129 Dutch mothers of pre-school children. Most safety measures were explained (rather) well by the same set of determinants. Main determinants for adopting or not adopting a safety measure were the mother's belief in the necessity of the safety measure according to the child's age, her belief about her partner's opinion on the necessity and her belief about the success of taking the measure. Subsequent important determinants were the mother's belief about the inconvenience and instrumentality of the safety measure; the perceived susceptibility had a minor or moderate influence on most measures. This study did not indicate that more highly educated mothers were more knowledgeable about safety-related subjects. The theoretical implications of this study are discussed.     

Rewarding safety belt usage at an industrial setting: Tests of treatment generality and response maintenance

An incentive program to motivate seat belt use was implemented at a large munitions plant. Seat belt usage was assessed daily at an entrance/exit gate of the industrial complex when employees arrived for work in the morning and departed in the afternoon. During treatment incentive fliers, which prompted seat belt usage and gave belt wearers opportunities to win prizes, were distributed only in the afternoon. Seat belt wearing increased from baseline means of 20.4% and 17.3% during the morning and afternoon, respectively, to averages of 55.5% during afternoon departures and 31.1% during morning arrivals. During follow-up, mean belt use dropped almost to baseline levels. Categorizing vehicles according to driver sex and license plate number enabled a study of belt wearing practices of individuals, and revealed that the incentive program influenced some drivers to wear their seat belts during morning arrival when incentives were not distributed (i.e., treatment generalization) and during a follow-up period after the incentives were withdrawn (i.e., response maintenance).