慢性阻塞性肺疾病急性加重期临床路径应用效果评价

评价临床路径管理在慢性阻塞性肺疾病急性加重期（AECOPD）的应用效果。通过采用回顾性调查,比较进入临床路径（路径组）和没有进入临床路径（对照组）两组患者在住院费用、住院时间及治疗效果3项指标上的差别。结果显示实施临床路径患者（路径组）的平均住院费用、平均住院日等指标均有不同程度的下降,而治愈率有所上升。从而得出临床路径在AECOPD病种的应用能够规范医疗行为,提高医疗护理质量的结论。     

不同建议来源和关系亲疏下突发事件决策中的框架效应

从建议来源和关系亲疏两个方面对突发事件下的决策框架效应进行探讨。采用2（建议来源：来自普通群众／消防人员）×2（关系亲疏：关系亲密／关系疏远）×2（任务框架：正面框架／负面框架）完全被试间实验设计。实验材料以突发事件为背景,根据Kahneman（1981）研究的经典“亚洲疾病问题”改编。采用集体施测的方法,240名来自济南和重庆的大学生参加了实验。结果发现：①建议来源影响被试的决策反应,尤其是当建议来自专业人士（如消防人员）时,决策者表现出偏好于风险的单向框架效应;②关系亲疏导致不同的框架效应,在拯救包括亲属在内的受灾人群（关系亲密）时,框架效应非常明显;但当拯救陌生人（关系疏远）时,决策者表现出偏好于风险的单向框架效应;③当建议来源和关系亲疏共同作用于被试决策时,凡涉及关系亲密条件时决策者不管建议来源都表现出明显的框架效应;而当关系疏远时不同的建议来源导致决策者的决策框架不同。这说明,不同的建议来源和关系亲疏对突发事件下的决策框架效应产生了影响。     

Psychosocial issues among children and adolescents in an integrated paediatric HIV psychology service in Botswana

This study explored the psychosocial issues faced by children and adolescents with HIV in Botswana. Data on psychosocial issues were collected from 27 young children aged 5–9 years and 128 adolescents aged 10–19 years (n = 155). Data were analysed using Microsoft Excel 2007 and MiniTab16. The most frequently identified psychosocial issues were behaviour problems (70%), family issues (58%), and HIV medication adherence (57%). Compared to young children, adolescents were more likely to have HIV medication adherence issues. Missed appointments were most commonly attributed to patient forgetfulness (21%) and conflicting appointments (18%).     

HeartMath: a positive psychology paradigm for promoting psychophysiological and global coherence

This article proposes HeartMath as a positive psychology paradigm for promoting psychophysiological and global coherence . It provides evidence for the value of psychophysiological and global coherence, with special reference to human functioning through synchronisation between positive emotions, cardiovascular, respiratory, nervous, immune and other physiological systems . Various HeartMath tools and techniques are described and evidence for their effectiveness provided, drawing from several related South African studies . Psychophysiological and global coherence bear promise as fertile fields for future research and intervention of great potential to develop humanity and promote global health and wellbeing.     

Intellectual Profiles and Violent Behavior in Juvenile Delinquents

Hemispheric laterality, measured by the Wechsler Verbal IQ-Performance IQ differential score, in a large group of delinquents (N = 101) was not associated with violent-nonviolent behavior. Delinquents were, however, likely to be relatively more impaired on verbal than on nonverbal intellectual capacities.     

Constructing Confidence Intervals for Effect Size Measures of an Indirect Effect

Confidence intervals for an effect size can provide the information about the magnitude of an effect and its precision as well as the binary decision about the existence of an effect. In this study, the performances of five different methods for constructing confidence intervals for ratio effect size measures of an indirect effect were compared in terms of power, coverage rates, Type I error rates, and widths of confidence intervals. The five methods include the percentile bootstrap method, the bias-corrected and accelerated (BCa) bootstrap method, the delta method, the Fieller method, and the Monte Carlo method. The results were discussed with respect to the adequacy of the distributional assumptions and the nature of ratio quantity. The confidence intervals from the five methods showed similar results for samples of more than 500, whereas, for samples of less than 500, the confidence intervals were sufficiently narrow to convey the information about the population effect sizes only when the effect sizes of regression coefficients defining the indirect effect are large.     

Basic Response Time Tools for Studying General Processing Capacity in Attention,Perception, and Cognition

One of the more important constructs in the study of attention, perception, and cognition is that of capacity. The authors reviewed some of the common meanings of this construct and proposed a more precise treatment. They showed how the distribution of response times can be used to derive measures of process capacity and to further illustrate how these measures can be used to address important hypotheses in cognition.     

Dissociation of Bimanual Responses With the Simon Effect: On the Nonunitization of Bimanual Responses

The authors examined whether responses of the 2 hands were completely unitized when participants (N = 36) produced bimanual responses to lateralized targets in a Simon-type paradigm. Their primary aim was to investigate whether lateralized stimuli differentially influence the response dynamics of the 2 hands. Simon effects were obtained in reaction time and force; components of the bimanual response by the hand on the same side as the lateralized stimulus were more forceful than were those of the other hand. Also, Simon effects were larger when the lateralized target appeared alone than when it was accompanied by a distractor on the other side of the display. Finally, responses of the 2 hands were correlated most strongly when stimulus displays were symmetrical. The authors conclude that bimanual responses are strongly coupled, but not perfectly so.     

Pointing and the interference effect in obsessive‐compulsive disorder (OCD)

The interference effect in obsessive‐compulsive disorder (OCD) was investigated in order to analyze cognitive aspects of motor stereotypy in OCD‐related compulsions. So far, the domain of cognitive control in compulsive behavior has been under‐investigated. Twelve participants (OCD patients and healthy controls) completed a newly created computer‐based pointing task as well as standard clinical and psychological background measures. Findings showed that the patients displayed a larger visual interference effect compared to the controls and pointing paths were longer in time as well as distance when a distractor stimulus was present. It is concluded that, for compensation, patients would need to generate excessive amounts of attentional resources not available to overcome motor rigidity on the one side and visual distraction on the other side.