甲型H1N1流感普通型与重症型的处理

本文回顾性总结历史上几次世界性甲型流感流行和2009年H1N1流感流行情况。概述了2009年H1N1流感普通型病例的临床处理。重点阐述2009年H1N1流感重症型病例的高危人群、发生的危险因素以及临床表现。特别强调重症型流感抗病毒治疗的重要性及适应证。同时提醒关注神经氨酸酶抑制剂应用的耐药问题。     

放射科工作流程重组期间医务人员工作负荷的实验研究

通过对放射科实施工作流程重组期间医务人员工作负荷的研究分析,发现工作流程重组在提高工作效率的同时,也不可避免地增加医务人员工作负荷。只有运用针对性的措施,有效减轻工作负荷压力,才能保障工作流程重组顺利进行。     

心脑血管疾病患者高血糖的管理

糖尿病是心脑血管疾病的主要危险因素,血糖控制不佳会加重此类患者的病情,影响其预后,因此,急慢性心脑血管疾病患者的高血糖要积极处理。在血糖控制过程中,要综合考虑患者的病情,选择安全、有效的降糖方案,避免低血糖和药物的副作用。本文就心脑血管疾病患者高血糖的管理进行了总结。     

慢性心力衰竭患者临床管理与评估

尽管近年来在慢性心力衰竭(CHF)的治疗方面取得了较大的进展,但CHF患者仍有较高的住院率及病死率.CHF临床实践指南的发布促进了规范化治疗.为了取得良好的医疗效果,临床医生必须对心力衰竭患者提供一系列复杂的药物治疗及严格的自我控制措施.随着医学的不断发展,出现了包括心脏再同步化起搏、左心室辅助装置或心脏移植等治疗,而这些手段常需要在对患者进行危险性评估的基础上进行.严格遵循指南并使CHF患者出院后的教育与各种支持项目相结合才能够在一定程度上减低患者的再住院率及病死率.     

恐惧管理对道德五基准及道德判断的影响

本研究探讨恐惧管理理论对道德五种基本准则以及道德判断的影响。85名被试随机分配到实验组与控制组。全部被试首先完成道德五基准问卷。实验组被试接受死亡凸显提示后观看短片并完成一系列道德两难问题的判断;控制组接受一般负性事件提示。研究结果显示,相对于控制组而言,实验组被试倾向于作出直觉而非理性判断,并且死亡凸显对道德直觉判断的影响受到厌恶情绪的中介作用。同时,当故事情节发生转换时,实验组被试倾向于作出与原有道德直觉规范相一致的道德判断。本研究从恐惧管理理论出发,为道德判断的情理之争提供了启示。     

Examining classroom influences on student perceptions of school climate: The role of classroom management and exclusionary discipline strategies

There is growing emphasis on the use of positive behavior supports rather than exclusionary discipline strategies to promote a positive classroom environment. Yet, there has been limited research examining the association between these two different approaches to classroom management and students' perceptions of school climate. Data from 1902 students within 93 classrooms that were nested within 37 elementary schools were examined using multilevel structural equation modeling procedures to investigate the association between two different classroom management strategies (i.e., exclusionary discipline strategies and the use of positive behavior supports) and student ratings of school climate (i.e., fairness, order and discipline, student–teacher relationship, and academic motivation). The analyses indicated that greater use of exclusionary discipline strategies was associated with lower order and discipline scores, whereas greater use of classroom-based positive behavior supports was associated with higher scores on order and discipline, fairness, and student–teacher relationship. These findings suggest that pre-service training and professional development activities should promote teachers' use of positive behavior support strategies and encourage reduced reliance on exclusionary discipline strategies in order to enhance the school climate and conditions for learning.     

Career Plateauing and Institutional/Occupational Intention for Taiwanese Career Officers

This study examines regulatory focus as a mediator between the perception of reaching a career plateau and institutional/occupational (I/O) intention in the Taiwanese military. Empirical data were collected from 632 career officers receiving full-time training at the National Defense University. For the identification of military value, we found that Taiwanese career officers’ occupational intentions were higher than their institutional intentions. Additionally, the results indicate that prevention focus completely mediated occupational intention and that promotion focus partially mediating institutional intention. Practical management and research implications are discussed and a direction for future research is suggested.     

Exposure to Unethical Career Events: Effects on Decision Making,Climate, and Socialization

An implicit goal of many interventions intended to enhance integrity is to minimize peoples' exposure to unethical events. The intent of the present effort was to examine if exposure to unethical practices in the course of one's work is related to ethical decision making. Accordingly, 248 doctoral students in the biological, health, and social sciences were asked to complete a field appropriate measure of ethical decision making. In addition, they were asked to complete measures examining the perceived acceptability of unethical events and a measure examining perceptions of ethical climate. When these criterion measures were correlated with a measure examining the frequency with which they had been exposed to unethical events in their day-to-day work, it was found that event exposure was strongly related to ethical decision making but less strongly related to climate perceptions and perceptions of event acceptability. However, these relationships were moderated by level of experience. The implications of these findings for practices intended to improve ethics are discussed.     

生涯适应力的作用：个体与组织层的跨层面分析*

生涯适应力(career adaptability)是生涯建构理论提出的自我职业生涯管理的核心概念,但国外理论和实践一直认为生涯适应力是一把双刃剑(生涯适应力高的员工工作绩效高,但其离职意向也高),本研究将对此进行检验;同时,生涯适应力作为个体职业生涯开发的核心变量,它在组织职业生涯管理跨层面作用中的价值也未曾研究。通过员工在两个时间点自评和管理者他评问卷,获得54家单位的485份有效调查问卷。结构方程模型分析的结果表明,生涯适应力不仅与工作绩效有显著正相关,而且也与离职意向有显著负相关。层次回归分析结果表明,工龄是生涯适应力与离职意向、工作绩效关系的调节变量;也就是说,工龄短员工的生涯适应力与工作绩效呈显著正相关,与离职意向呈显著负相关,但工龄长员工的生涯适应力与二者的关系都不显著。基于跨层面研究设计,多层线性模型(HLM)分析的结果表明,生涯适应力是组织职业生涯管理与个体工作绩效之间的完全中介变量,但在组织职业生涯管理与离职意向之间的中介作用不显著。这不但回答了生涯适应力对组织价值的管理困境问题,也解决了组织职业生涯管理与个体工作绩效的连接纽带问题。     

运动员的生活满意感:个人自尊与集体自尊的贡献

评估了个人自尊与集体自尊在预测运动员的一般生活满意感和训练比赛满意感时的相对重要性。被试为139名中国运动员,男68名,女71名,平均年龄19．64岁。分层回归的结果发现,在控制了人口统计学变量、个人自尊和社会支持3类变量以后,集体自尊单独解释了训练比赛满意感总方差的13％。优势分析的结果表明,预测训练比赛满意感时,集体自尊最为重要,贡献了已解释方差的67％。这些结果提示,需要用不同的自尊来预测不同的满意感。