关注晚期癌症患者的生活质量

在强调整体医学的今天,在肿瘤治疗尚未出现理想疗效的前提下,肿瘤治疗目标应遵循生存率与生活质量(QOL)并重的原则。在诊治晚期癌症患者过程中不仅要关心他们的生存期,更要关心他们的生活质量。在诊治过程中要根据他们独特的心理和生理特征给予全方位关怀,减轻痛苦、维持生命质量和保证他们应有的人格尊严。     

中医学形成初期的哲学思考

中医学在形成早期,受<易经>的影响,<易经>中的取像类比和"取譬"自然的思维模式、方法对中医学的形成更是深刻的.早期的医家在治病中充分运用哲学思想,取得良好的效验.通过传统医学称谓的变化,可以看出医学与非医学的剥离过程.     

Item selection methods with exposure and time control for computerized classification test

Computerized classification testing (CCT) commonly chooses items maximizing information at the cut score, which yields the most information for decision-making. However, a corollary problem is that all examinees will be given the same set of items, resulting in high test overlap rate and unbalanced item bank usage, which threatens test security. Moreover, another pivotal issue for CCT is time control. Since both the extremely long response time (RT) and large RT variability across examinees intensify time-induced anxiety, it is crucial to reduce the number of examinees exceeding the time limitation and the differences between examinees' test-taking times. To satisfy these practical needs, this paper proposes the novel idea of stage adaptiveness to tailor the item selection process to the decision-making requirement in each step and generate fresh insight into the existing response time selection method. Results indicate that a balanced item usage as well as short and stable test times across examinees can be achieved via the new methods.     

Creativity in Early and Established Career: Insights into Multi‐Level Drivers from Nobel Prize Winners

The freedom to try new things plays a vital role for employees engaging in creative endeavors. This freedom can be influenced by one's relationship with her supervisor, relationship with her team, and various work pressures. One of the first steps to reaching creative output is to have a playful attitude toward work where there is encouragement and processes that allow individuals to take risks and try new things. However, we argue that what allows someone to try new things earlier in their career and when they are more established might be different. Noteworthy progress has been made in conceptualizing the multi‐level factors that are important for creativity. In the current study, we identified variables associated with a willingness to try new things, part of the exploration phase of creativity, and divided them by the early and established careers of 59 Nobel Prize winners. Using a historiometric approach, we rated individual and team‐level variables to identify what makes someone try new things either earlier or later in her career. Findings indicate that willingness to try new things is related to autonomy, the relationship with one's mentor, team climate, and team network, but not to personal initiative.     

Managing multiple chronic conditions in Singapore – Exploring the perspectives and experiences of family caregivers of patients with diabetes and end stage renal disease on haemodialysis

Objective: Diabetes mellitus (DM) is the commonest cause of end stage renal disease (ESRD). Despite increasing DM-ESRD prevalence and high dependency on care, there is a lack of literature on DM-ESRD caregivers. We sought to explore the perspectives and experiences of caregivers of patients with DM undergoing haemodialysis in Singapore.

Design: This study employed an exploratory, qualitative design comprising in-depth interviews with caregivers of DM-ESRD patients.

Methods: Semi-structured interviews were conducted with a sample of 20 family caregivers (54.2 ± 12.6 years; 75% female) of DM-ESRD patients. Data were analysed using Thematic Analysis.

Results: Key caregiving challenges identified were managing diet, care recipients’ emotions and mobility dependence. Patients’ emotional reactions caused interpersonal conflicts and hindered treatment management. Difficulties in dietary management were linked to patients’ erratic appetite, caregivers’ lack/poor understanding of the dietary guidelines and caregivers’ low perceived competence. Limited resources in terms of social support and finances were also noted. Physical and psychological well-being and employment were adversely affected by caregiving role.

Conclusion: This study highlights distinctive aspects of the DM-ESRD caregiving experience, which impact on caregivers’ health and challenge care. Disease management programmes should be expanded to support caregivers in dealing with multimorbidity.     

The initial stage of the international sojourn: excitement or culture shock?

This paper presents findings from an ethnographic study of the adjustment journey of international postgraduate students at a university in the South of England, which involved interviews and participant observation over a 12-month academic year. It was discovered that the initial stage of the sojourn1 was not characterised by feelings of excitement, as suggested by the U-curve model (and its successors): though such feelings were present, they were overwhelmed by negative symptoms more commonly associated with culture shock. The implications of these findings for support structures in higher education are discussed.     

不同病期肿瘤患者的治疗选择

肿瘤从早期到晚期,需要选择不同的治疗手段来达到不同的治疗目的。从早期的根治性治疗到晚期的支持性治疗,随着肿瘤进展,抗肿瘤治疗强度从弱到强,到晚期又减弱。从能保证病人的生存质量到仅能减轻病人的癌性痛苦。这是肿瘤矛盾转化的必然结果,是抗肿瘤治疗的正确选择。     

Body-image,quality of life and psychological distress: a comparison between kidney transplant patients and a matching healthy sample

The purpose of the current study was to assess the uniqueness of the condition of kidney transplant recipients in comparison to a sample of matching healthy peers in relation to body-image dissatisfaction and identification, quality of life and psychological distress. Participants were 45 kidney transplant recipients who were under follow-up care at a Transplant Unit of a major Medical Center, and a sample of 45 matching healthy peers. Measures were taken using self-report questionnaires [Body-Image Ideals Questionnaire (BIIQ), Body Identification Questionnaire (BIQ), Brief Symptoms Inventory (BSI), and the SF-12]. The major findings were the following: (i) kidney transplant recipients reported lower levels of quality of life and higher levels of PsD when compared to their healthy peers; (ii) no difference in body-image dissatisfaction was found between the two studied groups; (iii) significant correlations between body-image dissatisfaction quality of life and PsD were found only in the kidney transplant recipients. The kidney transplantation condition has a moderating effect in the association between body-image dissatisfaction PsD but not in the association between body-image dissatisfaction and quality of life; (iv) kidney transplant recipients experienced higher levels of body identification than did their healthy peers. Taken together, these findings highlight the unique condition of kidney transplant recipients, as well as the function that body-image plays within the self.     

言语产生中的词汇通达理论

首先简单介绍了言语产生中词汇产生研究方法,然后重点介绍了言语产生中的2类重要的词汇通达理论：交互激活理论和独立阶段理论,围绕词汇通达中的3个重要问题：词汇通达的阶段、词汇通达的时间进程、词汇通达阶段是分离独立的还是交互作用的展开论述,阐述了2类理论的相同点和相异点。