树立急救白金10分钟理念，提高社区猝死抢救成功率

探讨建立社区急救体系提高猝死抢救成功率,比较国际与我国的急救现状、分析建立社区急救体系的保障因素、建立大众与社区急救流程、分析“急救白金十分钟”抢救的时效性规律。提出建立社区以家庭为个体急救单位、单元有志愿者、大楼设置救护小组、社区内建立自救站的大众急救网络;在其中组织多层面的大众急救宣传的培训;设置醒目的急救器械;设置社区内的急救流程。社区医院的建设需要政府的大力支持,要努力提高急救人员素质、建立长期培训和准入制度、高危人群筛查、建立对讲呼叫通讯网络、配备急足够的急救器材。最终建立和达到社会范畴的“急救白金十分钟”的时效性理想。     

基于眼动研究的孤独症谱系障碍早期预测

孤独症谱系障碍是一组以社交困难为主要特征的神经发育障碍, 涵盖孤独症、阿斯伯格综合症及分类不明确的广泛型精神发育障碍。ASD预测研究集中在神经生理学、遗传学及心理学领域。在心理学研究中, 眼动技术的运用使得相关测量更为细微、精确, 测量过程更严谨, 预测关系更可信。现有的眼动预测主要着眼于注视时间、首视点和扫视反应时指标的研究。这些研究揭示注视面部和眼睛时间短、注视眼睛时间随年龄增长递减、注视追随时间短、注视重复物理性刺激时间长、视觉搜索优势及注意解除困难均可以预测ASD。未来研究应强化眼动特征预测作用的追踪性考证, 加大与其它发展障碍的预测区分, 控制视觉接受能力对眼动行为的影响, 建立综合性预测体系。     

The BAI–PC as a Screen for Anxiety, Depression, and PTSD in Primary Care

Despite the prevalence of psychiatric disorders in medical settings, mental health problems often go undetected and patients do not receive appropriate treatment. The main goal of this study is to provide additional information about the Beck Anxiety Inventory – Primary Care (BAI–PC), a brief instrument that screens for patients with anxiety. This study provides information on the performance of the BAI–PC as a screening instrument for depression and PTSD in addition to its original purpose as a screening instrument for anxiety. This efficient tool can identify patients who can benefit from effective psychological treatments and facilitate referrals to psychologists working in medical settings.     

Validity and Reliability of a Pre-Employment Screening Test: The Counterproductive Behavior Index (CBI)

The Counterproductive Behavior Index (CBI) is a 120-item, true-false questionnaire developed to assess five aspects of counterproductive workplace behavior: Dependability Concerns, Aggression, Substance Abuse, Honesty Concerns, and Computer Abuse, plus an overall measure of Total Concerns. It also yields a Good Impression score. To assess predictive validity, undergraduates with significant work experience simulated persons who had each of the five counterproductive behaviors but were exercising care not to get caught trying to conceal that behavior. All differences between simulated and normative responding were highly significant, with a median sensitivity of .89 for a specificity of .90. For similar participants, construct validity correlations ranged from .37 though .72 with a median of .50, and the correlation of CBI Total Concerns with a Total Validity Index was .66. Test-retest reliabilities of the CBI scales ranged from .79 to .94 with a median correlation of .87. These compare favorably with previously reported internal consistencies (Cronbach alphas). Analysis of the CBI scores of the original normative group at different levels of Good Impression showed that none of the six Concerns scores were affected by attempts to make a good impression until the Good Impression score reached the 90th percentile.     

第一印象中面孔-人格知觉和语音-人格知觉的异同

人们会根据陌生人的面孔线索或语音线索迅速地对其人格特质进行主观推断而形成第一印象。面孔-人格知觉第一印象和语音-人格知觉第一印象在维度结构和内在机制上具有相似性;在对具体人格特质和维度的敏感性,以及具体的认知机制方面又具有各自的特异性。未来研究可以基于同一批被知觉者开展面孔-人格知觉第一印象和语音-人格知觉第一印象的直接比较,并着力探究二者的过程特点,以及人格知觉第一印象形成时面孔和语音知觉的跨模态整合效应。     

A retrospective survey of community based utilization of Tay Sachs screening in Eight New Jersey counties

The purpose of this study was to determine the rate of utilization of Tay Sachs disease screening by the Ashkenazi Jewish population. Pregnant women who were referred to one of three genetic centers in New Jersey for amniocentesis unrelated to Tay Sachs screening were the study population. 4490 charts were reviewed retrospectively to determine the at risk population for Tay Sachs disease (Ashkenazi Jews) and whether or not patients and their spouses had elected Tay Sachs screening prior to referral. A group of 25 patients who did not elect screening were questioned as to their specific reason for declining Tay Sachs screening. Overall community utilization was 90%. Of the couples who did not elect screening, 64% felt that their risk to have an affected child was too small, 16% could not recall Tay Sachs screening being offered to them, 8% felt that screening was inconvenient. Tay Sachs screening as a voluntary preventive health care program has a high utilization rate in our study group.     

Education and testing strategy for large-scale cystic fibrosis carrier screening

Population-based screening for cystic fibrosis carrier mutations presents a number of challenges for genetic counselors, owing primarily to the inability of current DNA testing technology to identify all possible mutations and the difficulty involved in conveying the concept of residual risk to those patients who test negative. To address these issues, we are conducting a pilot study, as part of a consortium established by the National Center for Human Genome Research, to explore the efficacy, acceptance, and psychosocial impact of various approaches to carrier screening in an ethnically diverse Southern California population. This article reports the patient instructional and screening strategies we developed in the initial phase of the project in order to optimize our chances of answering these questions and delivering this service on a large scale.     

Update and Review: Maternal Serum Screening

Maternal serum levels of alpha fetoprotein (AFP), human chorionic gonadotropin (hCG), and unconjugated estriol (uE3) can be used to screen pregnancies for neural tube defects, Down syndrome, Trisomy 18, and pregnancy complications. This article summarizes the most recent information regarding maternal serum screening, including genetic counseling issues.     

Training referential communication skills: The limits of success

We explored why an effective speaker-training technique failed to generalize to listener skills by comparing the relative effectiveness of speaker and listener training. Our hypotheses were that: either listening tasks utilize different skills than speaking tasks (thus one should not expect transfer), or the acquisition of listener skills precedes the acquisition of speaker skills (thus the transfer patterns tested in our previous research—speaker to listener—violated the normal developmental sequence), or there is no spontaneous transfer between tasks in different modalities (even though such tasks require the use of some of the same skills). This research utilized a referential communication paradigm. Five-year-olds received either speaker training, listener training, or both speaker and listener training. Children were tested for transfer on speaking and listening task after a 1-week delay. The results suggest that although speaking and listening tasks appear to require, at least in part, certain of the same skills, preschoolers do not exhibit spontaneous intermodality transfer. Theoretical implications for the relationship between speaker and listener skills are discussed.     

Keeping track of locations during movement in 8- to 10-month-old infants

Infants of $\text{8}\text{1}\text{2}$ and $\text{9}\text{1}\text{2}$ mo of age were tested for the ability to “keep track,” i.e., to determine the location of an object hidden in one of two covered containers before their left-right positions were reversed. Infants in both age groups for whom the covers were the same color and younger infants for whom the covers were different colors were generally unable to keep track. Only the older infants provided with different colored covers were able to do so. An analysis which separated keeping track from the sensorimotor stage 4 error indicated that (a) there was no contingency between the two and (b) there were developmental differences in the nature of the error.