重症医生培养新模式：交叉查房

重症患者病情复杂多变,临床医生面临诸多不确定性。不断改善临床思维模式,提高处理临床问题的判断力和决策力,是青年重症医生成长中亟待解决的问题。传统的查房模式在此方面作用有限。为此,探索了一种新的模式—交叉查房。交叉查房是对传统教学查房模式的拓展,由一线医生扮演上级医师的角色承担查房任务,上级医师扮演评价者的角色,对查房的整体过程和关键环节进行把关、纠错和补充,查房结束后通过量化指标对查房效果进行评估。交叉查房作为一种新的训练工具,能有效提高查房质量,是一种值得推广的教学查房模式。

     

The courage to be: Paul Tillich's existentialist theology of the cross in relation to Martin Luther

Paul Tillich is a traditionally rooted, yet progressive, theologian and philosopher who sought to bring the Christian message to the predicament of existential meaninglessness faced by modern people. The present article addresses a scholarly gap by emphasizing Tillich's use of Martin Luther's theology of the cross, in order to demonstrate Tillich's theological relevance for today from a Lutheran lens.     

Personal vulnerability and work‐home interaction: The effect of job performance‐based self‐esteem on work/home conflict and facilitation

Innstrand, S. T., Langballe, E. M., Espnes, G. A., Aasland, O. G. & Falkum, E. (2010). Personal vulnerability and work‐home interaction: The effect of job performance‐based self‐esteem on work/home conflict and facilitation. Scandinavian Journal of Psychology 51, 480–487. The aim of the present study was to examine the longitudinal relationship between job performance‐based self‐esteem (JPB‐SE) and work‐home interaction (WHI) in terms of the direction of the interaction (work‐to‐home vs. home‐to‐work) and the effect (conflict vs. facilitation). A sample of 3,475 respondents from eight different occupational groups (lawyers, physicians, nurses, teachers, church ministers, bus drivers, and people working in advertising and information technology) supplied data at two points of time with a two‐year time interval. The two‐wave, cross‐lagged structural equations modeling (SEM) analysis demonstrated reciprocal relationships between these variables, i.e., job performance‐based self‐esteem may act as a precursor as well as an outcome of work‐home interaction. The strongest association was between job performance‐based self‐esteem and work‐to‐home conflict. Previous research on work‐home interaction has mainly focused on situational factors. This longitudinal study expands the work‐home literature by demonstrating how individual vulnerability (job performance‐based self‐esteem) contributes to the explanation of work‐home interactions.     

A postcolonial Pannenberg? Mimicry,the law,and the cross of love

This paper employs the postcolonial concepts of mimicry and hybridity to interpret Wolfhart Pannenberg's understanding of the violence done to Jesus on the cross and the subversive reconciliatory love that it engenders. According to Pannenberg, although the man Jesus was crucified as blasphemer of the Jewish law, the resurrection vindicated Jesus so that the ones accusing Jesus were retroactively deemed to be the actual blasphemers. As a result, Jesus ended up dying not for his own alleged breaking of the law, but as an inclusive substitute for all blasphemers of God (through amour propre) deserving death. Thus, the resurrection confirmed Jesus’ divine identity and his earthly teaching that love supersedes and transforms the law. Applying the concept of mimicry to Pannenberg, on the cross the symbolic and semiotic are held together in tension for in mimicry the “not-quite sameness” menaces the colonizer. The cross, ostensibly a symbolic sign of abjection, is mimicked by the suffering of Jesus and subverted through a practice of inclusive semiotic love which recapitulates sinful human life toward a life of transformed autonomy. Pannenberg displays a pseudo postcolonial understanding of subverting oppressive law into love. However, on account of his futurist ontology, the eschatological totality is underscored relative to formative experiences, leaving him vulnerable to postcolonial critiques of essentialism, which can reinscribe colonialism. I contend that Pannenberg employs a strategy of “strategic particularism” in which concepts such as mimicry and hybridity are helpful as hermeneutical tools but ultimately provisional and temporary relative to the whole.     

In the last analysis: archetypal themes in the analysis of an elderly patient with early disintegrative trauma

Aspects of the analysis of an elderly patient with early disintegrative experiences are described: separation anxiety, an internalized attack upon vitality, and the fear of dependency were prominent features of the transference/countertransference relationship, while the search for meaning as death drew nearer continued to be the central theme. The patient's many dreams reveal a wealth of images whose complex interlinkings provided evidence of a heightened and energized individuation process aiming at the integrity of personality.     

群体任务中合作行为的跨阶段演变

合作是电子商务时代群体工作的重要基础。本实验通过资源两难任务研究群体工作中的合作行为的演变。111名被试参加了实验。研究发现,在动态博弈过程中,群体其他成员行为的多个阶段反馈将成为决策者合作机制形成的主要基础,与决策者价值等内部因素和环境不确定性等外部因素,共同影响合作行为的演变     

Modelling partially cross‐classified multilevel data

This article proposes an approach to modelling partially cross‐classified multilevel data where some of the level‐1 observations are nested in one random factor and some are cross‐classified by two random factors. Comparisons between a proposed approach to two other commonly used approaches which treat the partially cross‐classified data as either fully nested or fully cross‐classified are completed with a simulation study. Results show that the proposed approach demonstrates desirable performance in terms of parameter estimates and statistical inferences. Both the fully nested model and the fully cross‐classified model suffer from biased estimates of some variance components and statistical inferences of some fixed effects. Results also indicate that the proposed model is robust against cluster size imbalance.     

Afterword: On the Study of Religion in Public Institutions

Each of the essays presented enters the conversation about religion in public institutions through a different analytic doorway. The essays presented here enlarge and challenge various aspects of our initial analytic framework and enable us to see our blind spots and propose next steps. Reflecting on the contributions, we outline three additional issues to consider: the centrality of religion to the organizational identity or to organizational goal achievement, the effect of a specific aspect of the institution's organizational structure on religion, and the relevance of larger cross‐national differences for explaining differences in the same institution across national borders. Finally, we call for additional cross‐national case studies that will enable continued development of the comparative framework we propose.     

On the validity of culture‐level personality and stereotype scores

In response to comments by Perugini and Richetin and by Ashton, we discuss the reference‐group effect as a potential source of distortion in cross‐cultural comparisons and suggest some research designs to test its nature and importance. We argue that laboratory studies of personality are of limited utility in understanding personality questionnaire responses in real life. We summarise evidence in favour of the validity of aggregate personality traits and suggest that more scepticism is needed with regard to the accuracy of national character stereotypes. Published in 2007 by John Wiley & Sons, Ltd.