多媒体技术在医患沟通中的临床应用实践——以胸外科患者为例

伴随着网络信息技术的飞速发展,医学卫生行业正在跨入信息化时代,本课题采用多媒体技术的多样性、集成性、交互性和实时性的特点,使用自制多媒体术前谈话课件进行医患沟通.通过将胸外科拟手术患者随机分为试验组及对照组,试验组采用多媒体课件进行医患沟通,对照组采用传统方式沟通,分别统计分析两组患者沟通质量满意度,来探讨多媒体技术在胸外科医患沟通中的临床应用.采用多媒体技术进行医患沟通可以显著提高患者满意度,值得在临床工作中进一步推广.     

早期目标血糖管理下严重脓毒症患者HMGB1的变化及其临床意义

探讨早期目标血糖管理对严重脓毒症患者HMGB1变化的影响.严重脓毒症患者随机分为血糖控制A（4.4mmol/L~6.1mmol/L）、B（6.2mmol/L~8.3mmol/L）、C（8.4mmol/L~10.0mmol/L）三组.给予早期目标血糖管理,入ICU后0d、1d、3d、5d、7d采血测TNF-α、HMGB1浓度.三组TNF-α、HMGB1浓度及APACHEⅡ评分均呈下降趋势,A组HMGB1浓度及APACHEⅡ评分在第7d较B、C组明显降低（P＜0.05）.A组28d病死率较B、C组降低（P＆gt;0.05）.严重脓毒症患者在早期目标血糖管理下,显著降低HMGB1浓度,降低病死率和改善预后,HMGB1可用来评价脓毒症的严重程度及预后.     

THE FORUM

Internet plagiarism continues unabated and may even be increasing. Questions pertaining to the ethical-moral construct employed by students to justify Internet plagiarism among high school students have remained relatively untouched. Understanding not simply the prevalence of Internet plagiarism but also the variety of explanations used by students to justify their plagiarism seems crucial to curtailing its practice. In this study, I surveyed 160 high school students and endeavored to understand and describe the practices of students who use the Internet for schoolwork and who engage in copy-paste plagiarism or paper-buying practices. The results indicate that students are more easily able to justify copy-paste plagiarism for a variety of reasons that mirror justifications of other forms of conventional plagiarism. Most students indicated they would never purchase a paper for reasons ranging from fear of getting caught to more principled and nuanced ethical claims. Based on these results I also offer educators suggestions for refining assignments and evaluation methods.     

The structure of “communities” and communications in the new millennium

The three lineages of information,—the genetic, the cultural and artifactual—will increasingly merge their constituent information contents through advances in biotechnology and information technology. This will redefine what constitutes “social” and what constitutes “community.” A community's members communicate with their “significant others” and change their internal information states (and their internal and external behaviors). Under conditions of merging, information exchanges occur across all the three lineages. In this sense, the concept of significant other,—that is, a communicating entity—, is now spread from human communities to encompass also the biological and the artifactual. A seamless merging between the three realms now occurs affecting their respective internal information stores. The resulting image of interactions that now arises is of multiple oceans of communities, operating at different levels, the genetic, the cultural and the artifactual. There are exchanges across the different levels, up and down and sideways, as information is translated from one realm to the other. These dynamics result in changes in the evolutionary characteristics of each lineage and sub‐lineage, including the internal perceptions from within a lineage, namely in the language of evolutionary epistemology, its “meanings” and “hypotheses” on the world. A future sociology must necessarily take into account these factors and incorporate the dynamics of all three realms.     

Digital technology is here to stay and the psychoanalytic community should grapple with it

Digital technologies have revolutionised our lives and are also gradually affecting the way psychoanalytic psychotherapists and their patients interact. The author claims that these changes need to be embraced responsibly and with an open mind by the profession and illustrates some of his own experiences with clinical material.     

Sustainable Technology as an Instrument of the Enviromental Policy for the Attainment of a Level of Socially Acceptable Pollution

The world economy, already launched toward the globalization of markets, is strenuously searching for nonrenewable natural resources, to exploit in the productive processes to satisfy the demands of a world population in continuous growth. In such a context ecological taxation can contribute to the resolution of environmental problems, stimulating the entrepreneurs to appraise opportunities, not only environmental but also economical, that spring from the introduction of innovations of sustainable processes. With this in mind this article has proceeded with an evolutionary adaptation of the environmental curve of Kuznets, through a three-dimensional re-elaboration inserting as a third variable the sustainable technological component and showing how this can represent a valid tool of environmental politics for the attainment of an acceptable level of pollution for society in developed countries. Therefore, the objective of public governance is to favor research in the field of sustainable technology and to induce, even through the introduction of environmental taxation and facilitations, enterprises to use productive eco-compatible processes with the purpose of improving the general level of the quality of life in harmony with the concept of sustainable development.     

Using a Technological Augmentation to Enhance Parent-Infant Interactions With Parents at Risk

ABSTRACT

Effective parent training programs may need to be tailored for at-risk parents by using simple language, presenting concrete concepts, and simple technologies. We present four single-case research-design studies examining if the use of digital frames enhances parent-infant interactions with a diverse range of mothers with varied levels of risk for maltreatment. Based on self-modeling, the frames contain photographs of mother-infant dyads in posed interactions representing desired criterion behaviors from the parent-infant interaction (PII) module of SafeCare®. Results indicate that the use of inexpensive digital frames appears to enhance already good outcomes of the SafeCare PII module.     

Evaluating Attitudes and Experience With Emerging Technology in Cadets and Civilian Undergraduates

Existing research on the characteristics of digital natives, traditionally defined as those born after 1980, has shown subtle differences in how they approach technology compared with other cohorts. However, much of the existing research has focused on a limited set of conventional technologies, mostly related to learning. In addition, prior research has shown differences within this cohort in how they respond to autonomous technology (e.g., trust, reliance; Pak, Rovira, McLaughlin, &; Baldwin, 2016 Pak, R., Rovira, E., McLaughlin, A., &; Baldwin, N. (2016). Does the domain of technology impact user trust? Investigating trust in automation across different consumer-oriented domains in young adults, military, and older adults. Theoretical Issues in Ergonomics Science, 18, 199–220. 10.1080/1463922x.2016.1175523[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). The purpose of this short report, representing the first wave of data collection in a larger study examining technology experience and attitude change, is to directly address 2 shortcomings in the literature on digital natives which tends to emphasize: (a) civilian students; and (b) conventional, often learning technologies. We addressed these 2 issues by recruiting 2 subgroups of digital natives (students and military cadets) and assessing attitudes and experience with a wide range of technology spanning from conventional (e.g., mobile) to emerging (e.g., robotics). The results showed that that both groups were surprisingly unfamiliar with emerging consumer technologies. Additionally, contrary to expectations, cadets were significantly, albeit only slightly, less experienced with mobile technologies, VR/augmented reality, social media, and entertainment technology as compared to civilian undergraduates.     

Psychometric properties of the Norwegian version of the Childhood Trauma Questionnaire in high‐risk groups

The Childhood Trauma Questionnaire ‐ Short Form (CTQ‐SF) is widely used to measure childhood abuse of all types. In the present study, we examined the psychometric properties of the Norwegian version of the instrument. The participants constituted four subsamples (n = 517): substance abusers (n = 126), psychiatric patients (n = 210), prisoners (n = 109) and adolescents in out‐of‐home placements (n = 72). Confirmatory factor analysis revealed a reasonable fit of the data to the original five‐factor structure of the CTQ‐SF. Measurement invariance was found across gender and the four subsamples. It was concluded that the Norwegian version of the CTQ‐SF has acceptable psychometric properties, with good reliability and satisfactory accuracy, to assess different dimensions of childhood trauma.     

Family and Cultural Predictors of Depression Among Samoan American Middle and High School Students

This study investigated family intergenerational conflict and collective self‐esteem as predictors of depression in a sample of 128 Samoan middle and high school students. Simultaneous regression analyses revealed that each independent variable significantly contributed to an overall model that accounted for 13% of the variance in depression. Implications for counseling research and practice are discussed in terms of how schools may consider ways to promote these youth's cultural worth and positive family dynamics. Este estudio investigó el conflicto familiar intergeneracional y la autoestima colectiva como predictores de depresión en una muestra de 128 estudiantes samoanos de enseñanza media y secundaria. Los análisis simultáneos de regresión revelaron que cada variable independiente contribuyó de forma significativa a un modelo general que explicó un 13% de la varianza en depresión. Se discuten las implicaciones para la investigación y práctica de la consejería, en términos de cómo las escuelas pueden considerar formas de promover el valor cultural de estos jóvenes y una dinámica familiar positiva.