The Future of Neuropsychology in Medical Specialties

Although neuropsychology continues to grow as a valued service in most medical specialties, because of its multiple uses with diverse populations, it is necessary to evaluate the specialty critically in order to ensure continued future success. This article reviews areas in which neuropsychology is most firmly established, potential growth areas, and likely obstacles to success in the future. Suggestions are provided for ways in which neuropsychology can be improved/adapted in clinical, business, research, and training areas. On sabattical at Bebek University, Instanbul, Turkey     

Building and Maintaining Clinical Programs

This paper describes the basic elements of practice development and management within the academic medical setting. These include assessment of the market environment, both in the community and within the medical setting, product development, marketing, budget basics, quality, managed care negotiations, and finding time to do research in a financially-driven health care system.     

拓展后的GGUM在LOT-R中的适用性分析

该研究对拓广等级展开模型（GGUM）进行了拓展,取消GGUM中关于主观反应类别阈限对称的假设,并将拓展之后的新模型和GGUM同时用于生活取向测验修订版（LOT-R）的被试反应数据分析,采用新编的单项目、两项目对和三项目组χ2/df计算程序计算和比较新模型和GGUM在该测验数据上的拟合差异。结果显示,新编程序与Stark等人开发的MODFIT程序具有同样的有效性,新模型在这些指标上的值显著小于GGUM,并且均小于3,表明新模型较GGUM更适合于分析LOT-R的反应数据,说明新模型更适用于分析具有多个评定等级的人格测验数据。根据以上结果,该研究认为,未来人格测验的数据分析应该使用没有对主观反应类别阈限进行对称限定的新拓展的模型更合理。     

Computational exploration of metaphor comprehension processes using a semantic space model

Recent metaphor research has revealed that metaphor comprehension involves both categorization and comparison processes. This finding has triggered the following central question: Which property determines the choice between these two processes for metaphor comprehension? Three competing views have been proposed to answer this question: the conventionality view ( Bowdle & Gentner, 2005 ), aptness view ( Glucksberg & Haught, 2006b ), and interpretive diversity view ( Utsumi, 2007 ); these views, respectively, argue that vehicle conventionality, metaphor aptness, and interpretive diversity determine the choice between the categorization and comparison processes. This article attempts to answer the question regarding which views are plausible by using cognitive modeling and computer simulation based on a semantic space model. In the simulation experiment, categorization and comparison processes are modeled in a semantic space constructed by latent semantic analysis. These two models receive word vectors for the constituent words of a metaphor and compute a vector for the metaphorical meaning. The resulting vectors can be evaluated according to the degree to which they mimic the human interpretation of the same metaphor; the maximum likelihood estimation determines which of the two models better explains the human interpretation. The result of the model selection is then predicted by three metaphor properties (i.e., vehicle conventionality, aptness, and interpretive diversity) to test the three views. The simulation experiment for Japanese metaphors demonstrates that both interpretive diversity and vehicle conventionality affect the choice between the two processes. On the other hand, it is found that metaphor aptness does not affect this choice. This result can be treated as computational evidence supporting the interpretive diversity and conventionality views.     

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。     

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。     

腹主动脉瘤的外科治疗决策

腹主动脉瘤破裂是最常见、最凶险的疾病之一。提高对其治疗的临床决策水平至关重要。比较传统开腹修复治疗和血管腔内修复治疗的优缺点,以最佳证据为指导,选出最佳方案应用于临床实践。以人为本,做出科学决策,从而降低医疗费用及提高疗效及患者生活质量。     

The relationship between anxiety sensitivity and latent symptoms of emotional problems: A structural equation modeling approach

A large body of research suggests that common and specific psychopathology dimensions underlie the symptoms that occur within mood and anxiety disorders. As of yet, it is unclear precisely how the facets of Anxiety Sensitivity (AS), or fear of the symptoms of fear and anxiety, relate to these latent factors. Using data from 606 adolescents participating in the baseline phase of a longitudinal study on risk factors for emotional disorders, we modeled the facets of AS as measured by the Anxiety Sensitivity Index-Expanded Form (ASI-X) and related these facets to a hierarchical model of latent symptoms of psychological distress. Results suggest that one facet of AS is associated with a broad General Distress factor underlying symptoms of most emotional disorders while others relate to intermediate-level and conceptually-meaningful narrow factors representing aspects of psychological distress specific to particular emotional disorders.     

视觉选择过程中眼跳与注意关系的理论进展

视觉选择的过程包含两种途径:眼跳行动和注意转移,两者对于视觉选择目标物的加工都有促进作用。鉴于此,视觉研究领域产生大量关于二者关联如何的实验研究,大部分研究者认为眼跳和注意转移存在密切联系。该文将关于两者关系的重要理论进行了综合阐述和简要比较,主要介绍五种理论假说:眼动准备假说、动前假说、顺序注意模型、视觉注意模型和竞争整合模型。     

On the Observability of Purely Behavioral Sunk-Cost Effects: Theoretical and Empirical Support for the BISC Model

There is growing interest in whether and how sunk-cost effects for purely behavioral investments occur. In this article, we further discuss Cunha and Caldieraro's (2009) Behavioral Investment Sunk Cost (BISC) model and reconcile Otto's (2010) results with the BISC model predictions. We also report new data from two unpublished experiments that are consistent with the BISC model, and we discuss the conditions under which purely behavioral sunk-cost effects are likely to be observed.