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Leonor I. Lega Albert Ellis 《Journal of Rational-Emotive & Cognitive-Behavior Therapy》2001,19(4):201-222
This paper reviews and discusses the results of five cross-cultural studies in Colombia, Costa Rica, El Salvador, Spain, and USA, using 2 (college students vs. their parents) × 2 (males vs. females) MANOVA match group designs with the Attitudes and Beliefs Inventory subscales as dependent variables, two multicultural studies investigating the relationship between some demographic variables (Pan American Health Organization's Index of Violence, and Acculturation) and people's Irrationality, and two multidisciplinary studies on the relationship between some medical conditions (skin diseases, and severity of symptoms during menopause) and Irrational Beliefs. 相似文献
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杨婕娱 《医学与哲学(人文社会医学版)》2022,43(4):17-21
罕见病患者的道德、法律、经济与文化权利都无法得到应有保障。这与传统道德以亲疏远近来决定责任的承担顺序有关。在这种道德模式下,各个责任主体对罕见病患者的有效支持不足。罗伯特·E·古丁的弱势原理提供了一个全新审视伦理责任的维度,指出责任源于弱势,责任效力与责任对象依赖责任主体的程度密切相关。从不同维度看,罕见病患者都属于弱势群体,因而可运用此原理,将其权利保障的责任分配于不同责任主体,并以责任效力的高低顺序,重构以政府、医护方、企业、社会组织、媒体与大众、家庭对罕见病患者的伦理责任体系。
相似文献24.
随着“全球老龄化”时代的到来, 老年人认知功能的下降引起了研究人员的广泛关注, 其中年老化对决策的影响成为了近年来的一个新关注点。风险决策和模糊决策受生理性老化和病理性老化影响的研究显示, 正常老化个体模糊决策能力受损, 但其风险决策能力受老化影响较小; 而病理性老化个体, 以阿尔兹海默症患者为例, 在两类决策行为上均表现出损伤; 此外, 脑神经机制的研究发现在完成决策任务时正常年老化个体纹状体激活模式与年轻人存在显著差异, 病理性老化个体杏仁核与腹内侧前额叶的功能连接亦存在异常。未来的研究应同时考察并比较两类决策类型, 结合外周和中枢神经证据, 深入探讨老化对决策行为及神经环路造成影响的机制。 相似文献
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按病种支付医疗保险费用与病种成本核算研究 总被引：11，自引：1，他引：10
郑大喜 《医学与哲学(人文社会医学版)》2005,26(4):54-56
医疗服务具有垄断性、委托代理双重性和需求刚性。在利益机制驱动下 ,医疗项目的选择变成供方偏好 ,是医疗费用快速攀升的症结之一。变按项目支付为按病种支付 ,是控制医疗费用快速上涨、深化卫生改革的重要措施之一。最科学的方法是进行病种成本核算 相似文献
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Allecia E. Reid Urania Magriples Linda M. Niccolai Derrick M. Gordon Anna A. Divney Trace S. Kershaw 《American journal of community psychology》2013,51(3-4):510-519
Few studies have examined whether and how receiving an sexually transmitted disease (STD) diagnosis while in a romantic relationship relates to condom use and psychosocial sexual outcomes. Using dyadic data, we examined associations of a personal or a partner’s STD diagnosis during a relationship with condom use, monogamy intentions, condom intentions and attitudes, and STD susceptibility and communication. Because beliefs about how the STD was acquired may shape associations with behavior and cognitions, gender and suspecting that one’s partner had other sexual partners (i.e., partner concurrency) were examined as moderators. Participants were 592 individuals in 296 couples expecting a baby; 108 individuals had been diagnosed with an STD during the relationship. Personal STD diagnosis was unrelated to outcomes or was associated with increased risk. A partner’s diagnosis related to more positive condom intentions and attitudes. Among men who suspected concurrency, both a personal and a partner’s STD diagnosis were associated with less condom use. Receiving the STD diagnosis during pregnancy was associated with greater susceptibility and marginally greater condom use. Results suggest potential benefits of enhancing communication and encouraging joint risk reduction counseling among couples, engaging men more fully in preventive efforts, and capitalizing on the short window during which risk reduction occurs. 相似文献
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本文以现代医学模式为指导,阐述了辩证思维在流行病学研究领域的应用及其必要性。从系统论和具体问题具体分析论述了传染病和慢性病并重和区别对待的疾控观;通过消除病因和医防一体化以控制流行病。最后得出与哲学思维协调发展是流行病防治基本策略的结论。 相似文献
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免疫性疾病是一大类难治性的免疫紊乱而造成的疾病,尤其是自身免疫性疾病的一直困扰着免疫学家。传统的免疫治疗是根据不同疾病的需要增强免疫,调节免疫和抑制的方式进行,以辩证的观点分析免疫的增殖与程序性死亡这一对矛盾,认为：免疫性疾病的本质是免疫细胞增殖与程序性恨的失衡,因而通过诱导免疫细胞程序性死亡将成为免疫治疗的新途径。 相似文献
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徐钤 《医学与哲学(人文社会医学版)》1999,20(10):12-14
寄生物（包括寄生虫,细菌,真菌,立克次体,病毒等）虽依赖宿主而生存,却不一定对宿主致病,有的反而对宿主有益,根据达尔文的进化论,“自然选择”要求生物在进化中要不断适应环境,适应是生存最重要的条件,不能适应必将死亡,据此,本文对一些常见的自然因素对于宿主和寄生物两方面进行了初步分析,包括寄生物在宿主体内的繁殖速度,寄生物所引起的宿主的症状,其生现象的出现等,并对晚近发现的朊病毒,发生“星际传染性”的 相似文献