我国社区卫生服务发展的障碍与对策研究

自1996年试点至今,我国社区卫生服务在政策支持、覆盖面、社区卫生服务站(点)的数量、人员的素质和群众的意识等都取得了令人瞩目的成绩.但是,我国的社区卫生服务尚处于初级阶段,在发展过程中还存在很多的问题,亟待采取有力的措施,克服存在的障碍,进一步完善我国的社区卫生服务体系.     

防御性医疗行为研究进展及启示

介绍了防御性医疗行为在国内外的研究背景,指出防御性医疗行为在我国现行社会环境下存在的客观必然性,并分析了开展防御性医疗行为研究的重要性。探讨了防御性医疗行为的研究方法,通过德尔菲法初步给出了防御性医疗行为在我国的界定标准和开展具体调查研究的思路。     

阅读知觉广度眼动研究述评

文章述评了测量阅读知觉广度的实验范式,并对阅读知觉广度的研究成果以及影响阅读知觉广度大小的因素进行小结,最后对国内研究阅读知觉广度需要注意的问题进行了讨论。     

The dynamics of coordinated reaching and grasping: Scanning prehension properly

Prehension is the act of coordinated reaching and grasping. S.A. Wallace, E. Stevenson, A. Spear, D.L. Weeks [Hum. Movement Sci. 13 (1994) 255–289] proposed to assess the stability of this coordination by scanning the dynamics of prehension. The scanning method proposed by these authors prompted participants to position their peak hand aperture at different locations along the trajectory. Comparing the actual performance with the required performance, Wallace and colleagues concluded that there was a single stable pattern of coordination, albeit different for each individual. Here, we show that the method developed by Wallace et al. (1994, loc. cit.), and later used by C. Button, S. Bennett, K. Davids [Hum. Movement Sci. 17 (1998) 801–820] was flawed. We propose two potential fixes to the method and report a replication of the original experiment. Interpretation of the data with a corrected scanning technique showed that the method does not seem to be able to result in an unambiguous and precise assessment of the locus of stability.     

The marked item technique: a practical procedure for litter control

Unobtrusively marked items of litter were placed among existing trash on the grounds of a federal youth correctional facility. Inmates voluntarily collected trash and deposited it at a central location, where they were given money or special privileges for each piece of marked litter found. A multiple-baseline design with litter counts in three areas revealed successive reductions of 55%, 88%, and 71% after 17, 22, and 36 days of baseline, respectively. A fourth area served as a baseline-only control, and revealed no systematic changes. Advantages of the procedure over previously devised techniques were discussed and applications in other areas of pollution control suggested.     

Differential Factors in the Testing of Personality: II. Differences in Maturity

ABSTRACT

The evoking freedom or “but you are free” (BYAF) technique is a social influence tactic that offers recipients the freedom to accept or decline a request. This research tested the effectiveness of the evoking freedom technique in two field experiments. Participants were asked either to complete a survey (Experiment 1) or to allow a stranger to borrow their mobile phone to make a call (Experiment 2) on an urban university campus. Half of the requests involved language that evoked freedom, and half of the requests were direct. In both experiments, results showed significantly greater compliance in the evoking freedom condition. This research extends previous work by demonstrating the effectiveness of the technique using a high-stakes request and in a culture other than that of France, where the majority of evoking freedom studies have been conducted.     

Theory in practice

We are privileged to publish the last talk Fordham prepared before he died, which Fordham himself observed was ‘rather discursive’. As he comments, ‘theories are so ingrained in my work that I do not need to remember them’. ‘Theory in practice’ was part of a series of talks on theory by different speakers, given to the Society of Analytical Psychology monthly scientific meeting. It is not a polished nor a comprehensive essay, rather it is the musings of an 89-year-old analyst intended for a group who knew his work and achievements. He was too ill to deliver it himself.

In this informal communication the part theory plays in analytic practice is examined and examples of the different uses to which theory is put within analytic sessions are considered. The usefulness and value of theories are discussed with reference to Jung's theories and attitudes to them and to the theory of the primary self.     

缓慢的力量——Ilizarov技术在中国微言

1950年前苏联骨科医师Ilizarov发现了牵张成骨技术,应用模仿自然的缓慢牵伸力能治愈复杂创伤骨折、骨与软组织的缺损、感染和肢体的严重畸形.这种治疗模式既不同于传统骨科手术技术,也不同于现代的创伤骨科的骨折内固定接骨(AO)技术或截骨矫形技术,这些技术的特征之一就是迅速进行骨的固定和矫正畸形.以每天1mm为特征的Ilizarov技术,不仅解决了缺损和畸形中的骨的问题,而且解决了包括血管、神经、肌肉和皮肤在内的其他软组织的生长问题,对骨科一些创伤和畸形的效果无以伦比.由于诸多原因,在我国的传播不够广泛,还需要各方努力,来一起推动该技术的发展和应用.     

Cooperation in Ethnically Diverse Neighborhoods: A Lost‐Letter Experiment

Several studies suggest a negative impact of ethnic diversity on cooperation, but most of them rely on attitudinal and other indirect measurements of cooperation or are derived from the artificial laboratory setting. We conducted a field experiment based on the lost‐letter technique across 52 neighborhoods in Berlin, Germany. The study has two aims. First, we investigate whether the negative effect of ethnic heterogeneity on cooperation holds for concrete cooperative behavior in a real‐world setting. Second, we test the most prominent psychological mechanism that has been proposed to explain the negative effects of heterogeneity on cooperation, namely in‐group favoritism. We do so by experimentally varying the ethnicity and religion of the senders of letters. We find strong support for the negative effect of ethnic diversity on cooperation. We find no evidence, however, of in‐group favoritism. Letters from Turkish or Muslim organizations were as often returned as those from German and Christian organizations, and the ethnic diversity effect was the same for all types of letters.