Effects of whole body vibration on spasticity and lower extremity function in children with cerebral palsy

AimThe aim of this study was to evaluate the effect of whole body vibration (WBV) on lower extremity spasticity and ambulatory function in children with cerebral palsy (CP) with a complete crossover design.MethodSixteen participants aged 9.8(2.3) years received a 20-min WBV and a control condition in a counterbalanced order on two separate days. Change scores of each outcome variable were used to show the improvement.ResultsRepeated-measures analyses revealed significant differences in condition scores among variables including active range-of-motion (active ROM, increased), relaxation index (RI, increased), Modified Ashworth Scale (MAS, decreased), timed up-and-go (TUG, decreased), and Six Minute Walk Test (6MWT, increased). Significant differences were also found in time change scores for MAS and 6MWT. Correlation results revealed that TUG was significantly correlated with RI (r = −.512, p = .042), and 6MWT (r = −.700, p = .003).InterpretationThis study suggested that WBV intervention can control the spasticity, enhance ambulatory performance and increase active ROM. Along with previous results, data from this study revealed the potential use of WBV in clinical rehabilitation in children with CP. Future investigations should focus on finding the combination of treatment frequency and duration to achieve an ideal result.     

基于扎根理论的志愿者遗体（器官）捐献的动力探索

在濒临死亡情境下,对26名遗体（器官）捐献志愿者进行深度访谈并收集资料,运用扎根理论的开放编码、关联编码及选择编码对原始资料进行分解、检测、比较、概念化及类属化,并围绕志愿者遗体（器官）捐献的动力进行理论编码。结果显示,构建了扎根于原始资料的志愿者遗体（器官）捐献的新利他主义动机心理模型,形成了正确生死观构筑志愿者遗体（器官）捐献的认识基础、追寻意义存在构建志愿者遗体（器官）捐献的心理特征及利他主义新理念成为志愿者遗体（器官）捐献的动力三条新理论,对诠释志愿者遗体（器官）捐献行为具有一定参与价值。

     

身体知觉方式及其对临床的意义

身体承载着人生物、心理和社会功能的全部,亦是感知、行动的工具。概述了西方身体现象学研究取向的基本特点,深入分析了五种不同处境下,人对身体的不同知觉方式,剖析了患者和医生对身体知觉和理解的不同方式,阐述了西方身体现象学和身体知觉方式的研究可能对临床工作带来的积极影响,呼吁医护人员要高度关注患者躯体体验的表达和意义问题,引导患者可以通过改变身体知觉叙述的策略减轻病患带来的痛苦,为医患沟通架起平等对话的桥梁,改善临床医学中的非人性化和医患沟通不良的现象。     

中国医学史研究热点及发展态势——近五年中国医学史论文的可视化分析

为了解近五年中国医学史研究热点和发展态势,利用可视化软件对近五年中国医学史文献进行可视化分析。医学史学科为医学与史学跨学科专业,医学界与史学界间虽有融通交流,但研究界限仍较为分明。研究者应打破人为划分的学科分界线,将其他学科的理论融入医学史研究。高校应鼓励不同学科交互深造,创建研究集群以及培养体系,进行多学科交叉研究。在研究方向中,传统医学史与医疗社会文化史的碰撞和融合在未来将会是十分重要的发展趋势,借鉴瘟疫史研究的思路,从医疗社会史的角度探究其他疾病和现今尖锐的医疗问题或可成为未来的研究热点之一。

     

智能革命时代下脑机接口之于人类延展的伦理审思

脑机接口通过解码人类思维活动过程中的脑神经活动信息,构建出人脑与外部环境之间的直接信息交流和控制通路,帮助我们突破身体局限,增强人体机能。脑机接口技术将人的延展方式和水平提升至了一个新的境界,为人类认识自己开辟了新的维度。作为一种革命性的人机交互方式,脑机接口延展了人类身份的范畴,使人机混合体的赛博格身份成为可能;它延展了人类身体的边界,使超越身体局限的梦想成为可能;它延展了人类实践的方式,使意念控制的愿景成为可能。脑机接口技术在造福人类展现高价值的同时,也难免存在着高风险,其价值负载和伦理挑战越来越为人们所关注和重视。

     

Reconsidering the path for neural and physiological methods in consumer psychology

Recent decades have witnessed a burst of neuroscience research investigating mental and physiological processes central to consumer behavior, including sensory perception, memory, and decision making. Nonetheless, few publications that include neural and physiological measures, or develop conceptual frameworks around neuroscience principles, have been published in consumer psychology. It is clear that “consumer neuroscience” has thus far not lived up to its promises in the marketing literature. We suggest three main reasons for this. First, neural and other biological markers are often mistaken to be identical to the overlaying psychological constructs in traditional consumer psychology work. Second, somewhat surprisingly, there has been an overly narrow utilization of neural data. Most previous work focused on linking existing behavioral phenomena or psychological constructs central to consumer research to neural correlates using brain imaging techniques while ignoring other methods. We argue that much can be gained from improved integration of physiological measures and through them, different levels of analysis. Third, there remain significant structural hurdles to the broad adoption of neural and physiological measures for consumer researchers. We outline how addressing these three components can translate to a more holistic understanding of the consumer via both broader and deeper consumer insights.     

中医隐性知识结构维度模型的验证性研究

隐性知识大量存在于中医医者知识体系中。深入探讨中医医者隐性知识的结构维度,有利于中医的传承及个体隐性知识的转移。通过文献分析和专家访谈,发现中医隐性知识可以分为学习策略维度、临床技能维度、人际互动维度、情绪情感维度、价值取向维度和中医药文化维度。结合各维度之间的相互关系,构建了中医隐性知识的结构模型。为了提升该维度结构模型的科学性,对国家级名老中医、国医大师、中医院管理者进行了深度访谈和问卷调查,进行了验证性研究。     

国内医疗保障研究的知识图谱分析——基于CNKI数据库（2005年～2016年）

系统展现国内医疗保障领域的研究热点、重要学者、科研合作关系、期刊情况,对医疗保障研究形成直观的印象。利用可视化软件CiteSpace和文献计量学方法从关键词、作者、研究机构、期刊等方面进行知识图谱分析。分析结果表明,已有的医疗保障领域研究集中在新农合、医改、商业医疗保险参与社会保险、弱势群体和农民工医疗保障五类研究主题;出现了商业医疗保险、城乡统筹、大病保险等新的研究领域;学者之间的研究比较独立,少有稳定的研究团队,缺乏交流和资源共享。     

大学生知识价值观的实证研究

该研究从理论上界定了知识价值观及其基本成分(即知识价值目标、知识价值评价和知识价值手段)。运用设计的《大学生知识价值观调查表》,对2043名大学生进行了调查。结果显示,大学生在知识价值目标、知识价值评价和知识价值手段三方面都呈现出年级、性别和专业的差异。