传统与改良鼻内镜下鼻骨复位术的病例对照研究

比较传统与改良鼻内镜下鼻骨复位术两种手术方式,探讨改良鼻内镜下鼻骨复位术的可行性与优势所在。局部麻醉下分别采用传统与改良鼻内镜下鼻骨复位术对闭合性单纯鼻骨骨折及部分合并鼻中隔骨折的患者进行复位后,比较两种手术方式患者的复位效果、术中出血、术后不适及住院时间。改良鼻内镜下鼻骨复位术较传统鼻内镜下鼻骨复位具有麻醉效果好、鼻...     

Kidney Transplants From Young Children and the Mentally Retarded

Kidney donation by young children and the mentally retarded has been supported by court decisions, arguments based on obligations inherent in family relationships, an array of contextual factors, and the principle of beneficence. These justifications for taking organs from people who cannot protect themselves are problematic and must be weighed against our obligation to protect the vulnerable. A compromise solution is presented that strongly protects young children and the mentally retarded but does not abdicate all responsibility to relieve suffering. Guidelines are proposed that prohibit the retrieval of kidneys from young children and the mentally retarded but permit one exception. They would allow retrieval of a kidney when the consequence to a first order relative with whom the donor has a meaningful and valuable relationship is otherwise imminent death. This would be done in accordance with additional guidelines that minimize harm to the donor. Since most patients with end stage renal disease can be maintained on dialysis the need for a kidney to prevent death should be an uncommon occurrence. This compromise is proposed as a solution to a dilemma that exists because two ethical principles are in conflict and one cannot be honored without violating the other.     

真实急病情境下共情对大学生慈善捐助的影响:有调节的中介效应

基于真实急病情境,采用道德强度、道德认同、共情和慈善捐助问卷对462名大学生进行调查,探讨了共情影响大学生慈善捐助的内在机制。结果显示:(1)女生在真实急病情境下比男生更容易对主人公的不幸事件产生共情反应;大学生真实急病情境下的共情反应随年级关系的疏远而逐渐降低;(2)共情在道德强度与慈善捐助的关系中具有部分中介作用,即道德强度通过共情对慈善捐助产生间接影响;(3)道德认同对共情的中介作用具有调节效应,具体而言,相对于低道德认同的个体,高道德认同的个体表现出更多的慈善捐助,并且共情对道德强度和慈善捐助的中介效应也显著增强。研究结论对于理解慈善捐助的内在机制具有理论价值,对于慈善捐助的教育和干预具有现实启示意义。     

社会知觉视角下道德诉求方式如何提升劝捐效果

如何有效地引导个体“慷慨解囊”一直是理论和实践都关注的热点。基于道德基础理论和刻板印象内容模型, 研究考察了在不同社会知觉(温暖型vs.能力型)的劝捐主体中, 两种道德诉求方式(个体人道诉求vs.群体规范诉求)对劝捐效果的影响及其内在机制。3个实验的结果显示：温暖型(能力型)劝捐主体与个体人道诉求(群体规范诉求)更为契合, 更有利于提升劝捐效果; 温暖型劝捐主体进行个体人道诉求主要通过唤起个体的自我效能而提升劝捐效果, 而能力型劝捐主体进行群体规范诉求则主要通过增强个体的反应效能而提升劝捐效果。     

网络募捐中求助者的面部表情对捐助意愿的影响：有中介的调节模型

基于框架效应和共情–助人行为假说,以82名大学生为被试,通过实验探讨了网络募捐中求助者的面部表情对捐助意愿的影响,并考察了目标框架的调节作用以及共情的中介作用。结果表明：目标框架调节了求助者的面部表情对捐助者的共情和捐助意愿的影响。在积极框架下,消极面部表情对捐助者的共情和捐助意愿的积极影响显著高于积极面部表情;而在消极框架下,两种面部表情对捐助者的共情和捐助意愿的影响均无显著差异。研究还发现了有中介的调节作用模型,共情在求助者的面部表情对捐助意愿的影响中发挥中介作用,而目标框架是有中介的调节变量。     

面部表情与捐赠者–受益者关系对网络慈善众筹捐赠行为的影响

网络慈善众筹是从在线社区获得财力捐助的行为。本研究通过3个实验,考察在线社交平台上受益者面部表情与捐赠者–受益者关系对慈善众筹捐赠行为的影响。结果发现,快乐的面部表情对捐赠金额和分享意愿的影响总体上比悲伤更大;捐赠者–受益者共有的熟人关系比陌生人关系对捐赠金额与分享意愿的影响更大;面部表情与捐赠者–受益者关系对慈善众筹的捐赠金额存在交互作用,但对分享意愿没有显著性影响。结果表明,在线社交平台的慈善众筹捐赠行为更偏好有快乐面部表情的受益者,并且更多地受到间接的、社会交换预期微弱的熟人共有关系的影响。     

Intérêts et limites de l’utilisation d’une méthodologie mixte : à propos d’une recherche en psychologie de la santé

Recently, the health social sciences, like some fields of psychology, have progressively adopted qualitative methods, particularly in English-speaking countries. When they come in addition to quantitative methods, they are called “mixed methodologies”. Among other reasons, these approaches suffer nonetheless of a lack of acknowledgement because of a still topical debate opposing the positivist-objectivist and the constructivist paradigms. Another reason to this lack of acknowledgement is due to the fact that several authors explain the use of a mixed methodology according to pragmatic arguments. The authors of this paper briefly present these debates and their pertinence in health psychology research and try to overcome them by showing that it is possible to make mixed methodologies fall within a constructivist approach. Their proposal is exemplified through a research work about organ donation decision led in Switzerland. Actually, this research embed multiple and complex factors that offer an appropriated ground for the use of a mixed methodology, qualitative and quantitative.     

Experimentally distinguishing elevation from gratitude: Oh,the morality

Elevation has garnered empirical support as the emotional response to witnessing moral beauty. The current studies investigated elevation’s construct validity by experimentally testing whether feelings of elevation are distinct from gratitude, another moral and ‘other-praising’ emotion. Study 1 demonstrated that feelings of elevation are distinct from gratitude, serenity (i.e. a secondary comparison condition), and boredom (i.e. a control condition). Study 2 added a behavioral outcome measure in the form of monetary donations to a moral charity. The third study expanded on Study 2 by randomly assigning participants to an elevation or gratitude mood induction and then randomly assigning them to have the opportunity to donate to either a moral or an amoral charity. Together, these studies support Haidt’s conceptualization of elevation, clarify Algoe and Haidt’s qualitative assessment of the emotional differences between elevation and gratitude, and reveal that elevation results in different behavioral responses than gratitude.     

人体器官“有偿”获取机制的伦理依据与法律观照

人体器官、组织无偿捐献是当今获取器官的主流模式, 有偿模式 (含经济补偿、捐赠激励) 被排斥在体制之外。创建符合国情的器官捐献和移植体系, 既遵循我国社会的普遍伦理法则, 又符合国际通行的器官移植伦理标准, 提倡无偿、允许有偿 (补偿、激励) 获取人体器官模式和机制可能成为一种切合实际的选择。这既是对多年来关于人体器官“无偿”还是“有偿”获取讨论的回应, 也是对器官捐献机制的一个重大改进。为使这一机制真正发挥效力, 需要法律与伦理的融通和观照。