Using Planned Adaptation to Implement Evidence-Based Programs with New Populations

The Interactive Systems Framework (ISF) for Dissemination and Implementation (Wandersman et al. 2008) elaborates the functions and structures that move evidence-based programs (EBPs) from research to practice. Inherent in that process is the tension between implementing programs with fidelity and the need to tailor programs to fit the target population. We propose Planned Adaptation as one approach to resolve this tension, with the goal of guiding practitioners in adapting EBPs so that they maintain core components of program theory while taking into account the needs of particular populations. Planned Adaptation is a form of capacity building within the Prevention Support System that provides a framework to guide practitioners in adapting programs while encouraging researchers to provide information relevant to adaptation as a critical aspect of dissemination research, with the goal of promoting wider dissemination and better implementation of EBPs. We illustrate Planned Adaptation using the JOBS Program (Caplan et al. 1989), which was developed for recently laid-off, working- and middle-class workers and subsequently implemented with welfare recipients.     

试论现代中华民族道德生活的现实基础

相对于传统社会道德生活的陈陈相因,现代中华民族的道德生活展现出了全新的样态,而这主要是因为现代中华民族道德生活的现实基础发生了深刻的变化。新中国成立以来,社会主义经济制度、政治制度和思想文化体系的建立、发展和完善为现代中华民族道德生活的铺展奠定了坚实的基础,循着它们的演变就可以捕捉到现代中华民族道德生活的脉动。     

Memory awareness following episodic inhibition

Three experiments used directed forgetting (DF) and retrieval practice (RP) to investigate the relation of inhibited items to states of memory awareness occurring at test. In Experiment 1 using list DF robust inhibitory effects were present in cued recall, but in a recognition test these effects were only present in responses accompanied by recollective experience. In Experiments 2 and 3 using RP reliable effects of inhibition were found but these did not relate systematically to states of memory awareness. It is suggested that in DF the to-be-forgotten items are tagged at study as not to be recollectively experienced and so have a specific, inhibitory, relation to states of recollective experience occurring during test. In RP no tagging takes place, and inhibition is automatic or nonintentional and consequently does not have a specific relation to states of memory awareness at test.     

论马克思实践哲学的政治意蕴

In order to deepen the studies on the philosophy of practice, it is essential to explore the political significance of Marx's philosophy of practice. Marx's philosophy of practice is rooted in the problem of modernity and the separation between “individual subjectivity” and “societal community” in the modern context is the basic background of Marx's practical philosophy. It is the basic interest of Marx's philosophy of practice to find a way to end this separation via critique of civil society. Therefore, Marx's philosophy of practice has a clear significance, which manifests in the following aspects: one is “liberation politics,” and the other, “the regulatory mode of the socio-political institution.” Translated by Zhang Lin from Zhexue Yanjiu 哲学研究 (Philosophical Research), 2007, (1): 3–10     

流行病学实践与研究相关的伦理学视角与思考

随着社会的发展,公共卫生领域的伦理学问题不断显露,有必要对其重新审视。探讨了目前在公共卫生领域流行病学实践与研究中存在和涉及到的一些伦理问题,有传染病报告、隔离、免疫规划、艾滋病防治、传染病应急机制、流行病学调查和试验研究等,并就公共卫生领域中的伦理实践原则进行了概括。     

科学分析临床试验结果维护公众健康

近20多年来,循证医学对推动我国疾病访治的科学化、规范化和现代化起到了积极推动作用。但以临床试验为基础的循证医学在我国的20年历程也出现了一些值得关注的问题。本文将向临床医生提供如下信息：如何正确分析临床试验结果,如何合理地将临床试验结果用于临床,以及如何向患者传递科学的医学信息,保护患者利益。     

Identity,practice and dialogue

Identities are constructed and contested. This means they may be re‐worked to support more inclusive visions of who belongs and on what basis. However, identity construction does not take place in a vacuum, and social psychological analyses of change need to address the contextual dynamics that shape the processes and outcomes of dialogue. This requires attention to processes of power. Furthermore, we need to consider minority group members' understandings of these processes. From the perspective of the disadvantaged, dialogue may be experienced as disempowering because it is viewed as compromising group members' capacities to organize themselves to pursue strategies of social change. Copyright © 2008 John Wiley & Sons, Ltd.     

康德关于纯粹实践理性方法论的思想

文章立足于分析康德对“客观的德性法则如何在主观上也成为实践的”这一问题的回答,梳理了康德的纯粹实践理性的方法论思想,提出了两个步骤的理论：判断力的练习与自由的意识;并分析了方法论与实践理性批判的分析论在方法上的统一。康德认为这一方法论思想对道德生活与道德培育具有重要的意义,尤其是自由的意识以及对自己的敬重是道德教育的立足点,因为它们也是人在内心防止心灵的腐败与堕落的惟一守卫者。     

内科临床实习医师的带教思考

针对新形势下教学医院内科实习医生的特点,从教学方法、医学模式转变、能力培养、实习管理、医惠关系和医德教育以及就业指导等6个方面进行了分别阐述,强调了教学实习的新特点、新任务,主张教师的角色转换,真正实行弹性化管理,从而达到最佳的实习效果。     

目前医疗执业环境对临床实习带教的影响和对策

现有的医师执业制度和不完善的医疗保障体制使医疗环境复杂化,为临床实习带教带来新的问题和挑战。探索新的教学意识和带教模式是提高临床实习质量的关键。文章分析了目前医疗执业环境对临床实习带教的影响,提出加强带教意识,在建构主义教学理论指导下,应由“教”转为“学”,采用“互动式”教学模式提高临床实习水平。