活体肝移植的伦理学问题

目前,肝移植已成为治疗终末期肝病的有效手段,活体肝移植术部分解决了供肝短缺的问题,10多年来其发展迅速,并取得了良好的疗效,由于活体肝移植需从活的供体身上切取部分肝脏,且供体多为患者家属,故存在着供体的选择,供体的贡献与代价,患者的家庭,心理,社会等伦理等问题。因此在提高活体肝移植技术水平的同时,必须充分考虑活体肝移植的伦理学问题,遵守伦理原则,使活体肝移植不但能从技术上达到,在伦理学方面也是可行的。     

构建病人自主择医的现代医学伦理观

“病人选择医生”这一重大改革举措可以得到病人自主择医权和改革实践的有力辩护与支持,同时,为使其形成有序合理格局,并进入可持续发展的正常轨道,也亟需以解决现实重大问题为基础,着力的构建病人自主择医权的现代医学伦理观。这个医学伦理观应由现代的伦理理念框架1管理伦理框架、程序伦理框架构筑成主体框架。     

The Cleveland Scale for Activities of Daily Living (CSADL): Its Reliability and Validity

This study evaluated the reliability and validity of the Cleveland Scale for Activities of Daily Living (CSADL), a scale designed to measure in detail specific activities of daily living in individuals with dementia. Administered to knowledgeable informants by trained examiners, the CSADL demonstrated good reliability in terms of interrater agreement and internal consistency. The validity of CSADL total scores was shown by its sensitivity to degree of cognitive impairment: All comparisons between means of the healthy elderly group and three groups of AD patients differing in severity were statistically significant. The CSADL was highly correlated with the Blessed–Roth Dementia Scale (DS-ADL) and more highly correlated with Mini-Mental State Exam scores than was the DS-ADL.     

公众对活体大器官移植的认知态度与对策

对河南地区公众关于活体大器官移植态度进行的抽样调查结果显示：（1）公众赞成开展活体大器官移植;（2）多数公众反对器官买卖,但赞成器官买卖的也有相当大的比例;（3）亲情是亲属活体器官捐献者愿意捐献的主要原因。针对调查结果,我们在比较分析的基础上,提出了相关对策,促使活体大器官移植技术更好地造福于人类。     

我国的一种有特色的智能观

对我国的一种有特色的智能观即智能独立论进行了考察。认为智能独立论不同于西方的和前苏联的智能观。它肯定智能包含智力与能力,是二者的合称;认为智力与能力既有区别,又有联系,是两个相对独立的概念;指出智力独立论实质上是一种多元智能理论,包含着12种智能。     

Where do counsellors in private practice receive their support? A pilot study

Background: Previous research suggests that independent practitioners should ensure that they attend to self-care, and the requirement for self-care is written into ethical practice requirements. Aims: To explore whether or how counsellors in private practice received support, and if so from where. Method: A survey questionnaire containing 29 questions was sent to 525 recipients. Results: 31 questionnaires were completed. The results from these questionnaires indicated that support was primarily received through supervision. Discussion: The support needs of private practitioners are discussed in the context of a very low response rate. The researcher considers factors that might have led to this response rate, as well as reflecting on the study design.     

Identity and Engagement among Political Independents in America

Political behavior among independents has been documented for decades, yet we are left with limited insight into their political engagement. What, if anything, motivates independents to engage in politics? In this study, I apply psychological theories of attitude importance to explain high variation in political‐engagement levels among independents. Using two recent datasets, I find engagement levels are comparable across independents and partisans, yet predictors of their engagement differ substantially. Ideological strength predicts engagement for partisans—but not for independents. Instead, my data show that independents' engagement is best predicted by the importance they place on their independent identity. These data provide evidence that independence is a meaningful political identity and that identity importance is a key to explaining what motivates the independent voter to engage with politics.     

Distribution and Neighborhood Correlates of Sober Living House Locations in Los Angeles

Sober living houses (SLHs) are alcohol and drug‐free living environments for individuals in recovery. The goal of this study was to map the distribution of SLHs in Los Angeles (LA) County, California (N = 260) and examine neighborhood correlates of SLH density. Locations of SLHs were geocoded and linked to tract‐level Census data as well as to publicly available information on alcohol outlets and recovery resources. Neighborhoods with SLHs differed from neighborhoods without them on measures of socioeconomic disadvantage and accessibility of recovery resources. In multivariate, spatially lagged hurdle models stratified by monthly fees charged (less than $1400/month vs. $1400/month or greater), minority composition, and accessibility of treatment were associated with the presence of affordable SLHs. Accessibility of treatment was also associated with the number of affordable SLHs in those neighborhoods. Higher median housing value and accessibility of treatment were associated with whether a neighborhood had high‐cost SLHs, and lower population density was associated with the number of high‐cost SLHs in those neighborhoods. Neighborhood factors are associated with the availability of SLHs, and research is needed to better understand how these factors affect resident outcomes, as well as how SLHs may affect neighborhoods over time.     

Efficacy of and preference for reinforcement and response cost in token economies

Researchers have shown that both differential reinforcement and response cost within token economies are similarly effective for changing the behavior of individuals in a group context (e.g., Donaldson, DeLeon, Fisher, & Kahng, 2014; Iwata & Bailey, 1974). In addition, these researchers have empirically evaluated preference for these procedures. However, few previous studies have evaluated the individual effects of these procedures both in group contexts and in the absence of peers. Therefore, we replicated and extended previous research by determining the individual effects and preferences of differential reinforcement and response cost under both group and individualized conditions. Results demonstrated that the procedures were equally effective for increasing on‐task behavior during group and individual instruction for most children, and preference varied across participants. In addition, results were consistent across participants who experienced the procedures in group and individualized settings.     

Body–Mind Integrality: Remarks on the Nature and Origin of Universe and Life

This article summarizes scientific knowledge in the fields of quantum physics and medical science regarding the origin and the nature of the universe and life. The recent discoveries in the fields of biophysics, genetics, epigenetics, neuroscience, and psychosomatics describe the universe and life as highly coherent systems where information is a key factor. In this concept living systems are cognitive networks in a dynamic relationship with their environment. Health in this context is a dynamic balance in a subject in which the information flows functionally. Disease is identified as a pathology of information that can be classified in a new way, considering two different codes of meaning—the semiotic and the symbolic.