要注意中药对肝的损伤作用

含有生物碱类、皂苷类、萜类、毒蛋白类、重金属类成分的中药易致急性肝损伤.中药对肝脏损伤的原因及机制较为复杂,可能与药物对肝脏的直接毒性或特异性体质有关.此外,中药炮制方法、给药途径、剂型、剂量、疗程及配伍不当也会引起药物性肝损伤.中药所致的药物性肝损伤的诊断主要依据用药史、发病的时间、过程和临床表现并排除其他因素.治疗可选用还原型谷胱甘肽、S-腺苷蛋氨酸、多烯磷脂酰胆碱、熊去氧胆酸、水飞蓟素等药物,重症可选择人工肝脏支持治疗.     

CBL、PBL及Seminar结合的立体教学模式的应用和思考——临床医学八年制呼吸科床旁教学实践中的应用

临床医学八年制内科学床旁教学应用传统的教学模式及基于案例的学习（CBL）单一教学方法难以满足教学要求.将CBL与基于问题的学习（PBL）及研讨会（Seminar）结合的立体教学模式应用于呼吸科的床旁教学实践中,激发了学生学习的积极性、创新性,培养了学生良好的团队合作精神和临床思维模式,提高了学生们解决临床问题的能力,并能加深师生互动交流,达到教学相长的目的.     

用达尔文医学的观点看待近视眼的发生和治疗

从近视眼的进化史来看,伴随人类生活方式的改变,眼睛对近距离信息摄取的需求膨胀是近视眼形成的终因.在漫长的人类历史中,近视眼获得的每一种益处,都伴随着相应的代价.而达尔文医学关于生物进化的不完美性决定了近视眼的进化适应和代价将长期共存.因此,从治疗模式来看,应该摒弃达尔文医学固有的消极性而考虑生物的整体性和生态性.近视眼的中医和基因治疗正是避免了达尔文医学治疗模式的理论消极性,而且融入了其有关生物进化、遗传与环境统一的部分理念,可能成为近视眼治疗的候选策略.     

我国转化医学发展现状的思考

转化医学在当今世界发展迅速,虽然在我国起步较晚,但取得了巨大的成就,建立了许多转化医学研究机构,积极开展合作交流,但不可避免地存在一些问题,诸如创新能力不足、顶层设计不够和人才缺乏等,为此提出相应对策和未来发展的前景,同时指出转化医学在我国不仅是学术问题,而且是社会问题.     

How Do Romantic Relationship Satisfaction,Gender Stereotypes,and Gender Relate to Future Time Orientation in Romantic Relationships?

The present study is an investigation into how romantic relationship satisfaction and attitudes toward gender stereotypes about romantic relationship and gender are related to future time orientation in romantic relationships (FTORR). Four hundred and thirteen (208 men and 205 women) university students taking elective psychology courses at Middle East Technical University were given a scale including items about FTORR, romantic relationship satisfaction, and attitudes toward gender stereotypes about romantic relationships. All the participants were then involved in a heterosexual romantic relationship. Multiple regression results showed that for the women, attitudes toward men's assertiveness and men's dominance in relationships were more important predictors of FTORR than relationship satisfaction. For the men, attitudes toward men's assertiveness and romantic relationship satisfaction were important predictors of FTORR, but attitude toward men's dominance was not a predictor of FTORR. Women were more future oriented in their ongoing romantic relationships than were men. Finally, participants who were highly satisfied with their relationships scored higher on FTORR than those who were less satisfied.     

Creating a sustainable global society— the evolutionary path

Many indicators suggest that modern society is presently in a period of transition. The older order is showing obvious signs of decline, and elements of a new order appear to be forming. Growing numbers of people are coming to recognize that the worsening global dilemmas are best viewed as symptoms of an underlying disorder involving some of the most deeply underlying assumptions of modern society. The ultimate resolution of these dilemmas will come about, not through politically implemented “solutions,” but through our further evolution to a fundamentally different, “trans‐modern” society. The key challenge to individuals and organizations is to understand the necessary evolutionary change well enough to contribute toward its taking place with a minimum of attendant social disruption and human misery.     

Moses,Michelangelo and Freud: From an interlacement of stories in history to some suggestions for treatment theory

Abstract

The first part of this paper is inspired by Freud's interpretation of Michelangelo's Moses, which as the author shows, profoundly expresses Freud's subjectivity and personal features. With reference to clinical treatment, when the analyst “reasons” without considering his or her partner's position, the setting is lacking from a relational point of view. The consequence is that the analyst is missing a precious resource, that is, his or her patient and the documental sources he or she transmits in the analytic dialogue. In the second part of the paper, the author analyzes the nature of documental sources. This information pertains to both the patients’ pasts and their histories, expressing their rigid conservative needs, and to their evolution and transformational needs, in view of future possible change. Evolution needs are not visible, because they are implicitly present, and—according to the author—they could be recognized through the method of discrete details proposed by the Italian art critic G. Morelli. A broader vision of analytic listening is also considered: the past should be taken into account with the aim of interpreting the present and the future, as changing spaces. Change in therapy is announced through nonrepressed unconscious signals and by the language of the implicit. In the conclusion, the author exposes the connections of change, implicit, symbol, metaphorical language and waiting time.     

The Consequences and Correction of Inflation in Personal Savings Estimates in Specific Future Time Frames

We examined the consequences of personal savings estimate inflation that occurs when decision makers provide savings estimates for specific future months when compared with the next month or the next year time frames, along with a method to attenuate this bias. The results of three experiments showed that the savings estimate inflation leads to significantly larger estimates of desired nest egg size (Experiment 1) and preference for riskier choices in other financial domains such as investment and employment decisions (Experiment 2). An attempt to attenuate this bias revealed that it is corrected when individuals provide a budgeting estimate prior to giving a savings estimate (Experiment 3). The theoretical and practical implications of the findings are discussed. Copyright © 2012 John Wiley & Sons, Ltd.     

早中期青少年未来规划的发展及其与父母教养行为的关系：行为自主的中介效应*

采用追踪设计,以948名初中和高中学生为被试,在考察早中期青少年对教育和职业领域的未来规划发展特点的基础上,探讨了父母教养行为对青少年未来规划的预测作用以及青少年行为自主在其中的中介效应。结果表明：(1)在两次测量中,中期青少年的教育探索水平增长,早期青少年的教育探索变化不显著;早期青少年的职业探索和投入水平均高于中期青少年。(2)父母的接纳/参与能正向预测青少年当时及以后对教育和职业的探索和投入;父母的严厉/监督仅能正向预测青少年当时的教育探索和投入。(3)行为自主在父母的接纳/参与对青少年未来规划的预测中起部分中介效应。     

Biases in intuitive reasoning and belief in complementary and alternative medicine

Very little is known about the reasoning underlying beliefs in complementary and alternative medicine (CAM). This study examined whether CAM beliefs can be better explained with intuitive reasoning, paranormal beliefs and ontological confusions of physical, biological and mental phenomena than with 12 variables that have typically been used to explore the popularity of CAM, namely gender, education, income, age, health, desire to control treatment, satisfaction with conventional medicine and world view (unconventional, feministic, environmentalist, exotical and natural). A representative sample of Finnish people (N = 1092) participated in the study. The results showed that intuitive thinking, paranormal beliefs and ontological confusions predicted 34% of the variation in CAM beliefs, whereas the 12 other variables increased the prediction only by 4%. The results help to explain individual, cultural and situational differences in the popularity of CAM and to differentiate between CAM statements that can be scientifically examined from those that cannot.