新的人身损害赔偿司法解释对医疗行业的影响及医疗行业的对策

新的人身损害赔偿司法解释将于2004年5月1日正式施行.预计将引起医疗纠纷诉讼大量增加,且多以医疗侵权为诉因,医疗机构的赔偿费用也会大幅上升.医疗行业应从减少医疗过失,改善医患关系,完善医疗事故鉴定等方面加以应对.     

医护人员工作倦怠与A型人格、控制点的关系研究

通过对320名医护人员的调查,探讨工作倦怠与A型人格,控制点之间的关系。结果表明：(1)情绪疲惫、去人性化与A型人格、控制点存在显著正相关,个人成就感与控制点存在显著负相关。(2)A型人格、控制点对情绪疲惫,去人性化具有正向预测作用,控制点对个人成就感具有负向预测作用。(3)与B型人格相比．A型人格者的去人性化程度更高;与内控者相比,外控者工作倦怠程度更高。     

经导管射频消融术发展史及对医学教育的启示

自20世纪未,经导管射频消融术成功用于治疗快速心律失常,取得了瞩目的成就,本文回顾这一技术的发展史,认为它是理工科和医学高度结合的产物,提出医学教育与科研应该有理工医结合的环境。     

新医改背景下控制糖尿病肾病的基本方略

新医改背景下控制糖尿病肾病的基本方略包括微量蛋白尿的早期定性、早期和全程控制糖尿病共性高血压、糖尿病肾病的基本防护方略的程序化设计和延缓与防护糖尿病肾病的基本干预方略。后者包括ACEI和ARBs干预DN的发生与发展、防护糖尿病肾病的最佳疗法——抗高血压治疗。     

国内医务人员职业倦怠研究评述

通过文献分析法,介绍了职业倦怠概念以及国内医务人员职业倦怠常用测量工具,从人口学变量、人格、工作特征和社会支持四个方面阐述了当前医务人员职业倦怠的影响因素,最后在简要分析现有研究存在本土化程度较低及缺乏应用性研究等不足的基础上,展望了医务人员职业倦怠本土化及干预两方面研究的发展前景。     

影响患者医疗知情权实现的细节因素分析

在医院细节文化的语境下,通过抽样问卷调查及结构式访谈法,提出在口语、书面语的医院方式文化中,影响患者医疗知情权实现的细节因素及其存在问题,并结合相关制度规定,分析存在问题的原因,进而寻找保障患者医疗知情权实现途径及对策,以期构建和谐医患关系。     

Psychoanalysis in the university: the natural home for education and research

Psychoanalysis as a theory of human mental functioning and a derived therapeutic for disturbed functioning would have its natural home in the university, and Freud gave evidence of harboring such an ambition. But the sociopolitical structure of the early 20th century Austro-Hungarian Empire precluded this, and analysis developed, by default, its part-time, private practice-based educational structure. Psychoanalytic penetration of academic psychiatry in the United States after World War II made possible a counter-educational structure, the department of psychiatry-affiliated psychoanalytic institute within the country's medical schools. This paper outlines, beyond these, other more ambitious vistas (David Shakow, Anna Freud, The Menninger Foundation, Emory University [US], APdeBA [Argentina]), conceptions even closer to the ideal (idealized) goal of full-time placement within the university with strong links to medicine, to the behavioral sciences, and to the humanities.     

CAN AN UNDERSTANDING OF BASIC RESEARCH FACILITATE THE EFFECTIVENESS OF PRACTITIONERS? REFLECTIONS AND PERSONAL PERSPECTIVES

I have written before about the importance of applied behavior analysis to basic researchers. That relationship is, however, reciprocal; it is also critical for practitioners to understand and even to participate in basic research. Although applied problems are rarely the same as those investigated in the laboratory, practitioners who understand their basic research background are often able to place their particular problem in a more general context and thereby deal with it successfully. Also the procedures of applied behavior analysis are often the same as those that characterize basic research; the scientist-practitioner will appreciate the relation between what he or she is doing and what basic experimenters do, and as a consequence, will be able to apply therapeutic techniques more creatively and effectively.     

医学院校自然辩证法教学中的例证探析

目前在《自然辩证法》的教学中还存在一些问题,如教材老化、师资力量不足,学生人文素质背景较薄弱等,为了切实使理论和实践相结合,使学生认识到该课程的重要性而学有所用,以医学院校为例,论述了如何将有关医学实例结合到《自然辩证法》的教学过程中去,以切实有效地提高这门课的教学效果。