生命科学发展前沿对医学教育的影响

21世纪生命科学和生物高新技术迅猛发展,基因组学、系统生物学、组织工程与干细胞技术等生命科学发展前沿的研究成果越来越快地应用于临床,正在使人类疾病的预防、诊断、治疗手段和方式发生革命性的变化。这必将对高等医学教育产生深刻影响,这种影响主要体现在人才培养目标的设定、课程体系与教学内容的更新、生源优选与师资提升、教育资源配置等方面。生命科学的发展将促使课程体系更加开放,基础医学教学内容更前沿,临床医学教学突破传统技术纳入更多新技术,计算机等工具学科的教学更强化,并对教师素质和教学资源提出更高要求。     

Perceived control effects on religiosity and quality of life among young adults

The study investigated the mediating role of perceived control in the association between religiosity and quality of life among young adults in south-west Nigeria. Data were collected from a sample of 1 050 young adults (mean age = 29.8, SD = 4.61; female = 38.7%). Regression analysis was utilised to predict quality of life from religiosity, partialling out perceived control. Findings suggest internal religiosity to predict an environmental domain of quality of life through perceived control. Perceived constraints appear to explain the association between internal religiosity and the environmental domain of quality of life.     

The Impact of Life Transition on Emerging Adult Attachment,Social Support,and Well‐Being: A Multiple‐Group Comparison

Life transitions can induce distress for emerging adults. This study compared a model of the attachment, social support, and well‐being of emerging adults in transition with a model of those not in transition (N = 378). The transition sample reported less life satisfaction and environmental mastery and higher attachment avoidance than the nontransition sample. The transition sample showed weaker mediating effects of social support, suggesting that attachment accounted for additional unique variance for this group. Counseling implications are provided.     

新农合制度调整前后豫北地区腹膜透析患者透析质量的比较

腹膜透析是终末期肾脏病的有效替代治疗方法之一。2012年4月,河南省对包括慢性肾衰竭在内的六种疾病的新农合报销比例做出重大调整,腹透患者主要经济花费的透析液报销比例由原来的40％提高至80％。通过研究新农合制度调整前后豫北地区腹膜透析患者的临床资料,报告了制度调整后的患者透析充分性提高,贫血、营养状况较前好转,心血管疾病发生率下降,生存质量改善的现况,论证了老龄、糖尿病、营养不良、心血管疾病、透析不充分、较低的医疗保险支付比例是影响腹膜透析患者预后的重要因素,为腹膜透析患者的预后分析提供了理论依据。     

Secondary Traumatic Stress,Psychological Wellbeing and Life Satisfaction of Social Workers in Namibia

The aim of this study was to investigate the relationships among secondary traumatic stress, psychological wellbeing (purpose in life, environmental mastery and self-acceptance) and life satisfaction of social workers of Namibia. A cross-sectional survey design was used with a sample population of 116 social workers. The Secondary Traumatic Stress Scale, three subscales of the Psychological Well-being Scale, the Satisfaction with Life Scale and a biographical questionnaire were administered. The results showed that secondary traumatic stress (including arousal, avoidance and intrusion) was negatively related to purpose in life, environmental mastery, self-acceptance and life satisfaction of social workers. Satisfaction with life was best predicted by environmental mastery and low arousal. Avoidance impacted life satisfaction indirectly and negatively via low environmental mastery.     

Exploring the relationship between religious fundamentalism,life satisfaction,and meaning in life

This study explored the relationship between life satisfaction, meaning in life, and religious fundamentalism among 420 participants (28.8% male, 88.4% African, 8.4% White) residing in the Gauteng province of South Africa. A cross-sectional quantitative survey design was followed. Data were collected using the Meaning in Life questionnaire and the Satisfaction with Life scale, and analysed by means of latent variable modelling. Results indicated that meaning in life acted as a mediator between religious fundamentalism and life satisfaction. This suggests that in some cases, fundamentalist religious attitudes might be adaptive in that it provides its adherents with a clear framework of meaning and definite answers to life's existential uncertainties.     

Psychological strengths and subjective well-being in South African white students

This study investigated the role of individual resources, notably self-efficacy, gratitude, and hope, in subjective well-being of white dormitory students at a historically white institution of higher learning. Using a convenience sample of white students (N?=?227), we tested the role of generalised self-efficacy, gratitude, and hope as indicators of a latent factor, labelled personal resources, in a structural equation model with subjective well-being as the latent output variable, measured by self-esteem and satisfaction with life. Path analyses indicated a reasonable fit between the data and our hypothesised theoretical model which proposed positive relations between levels of generalised self-efficacy, gratitude, dispositional hope, self-esteem and satisfaction with life. White students were psychologically doing well, considering above-midpoint levels obtained for levels of generalised self-efficacy, gratitude, dispositional hope, and satisfaction with life However, scores obtained for self-esteem and adult dispositional hope were below the mid-point and neutral respectively, indicating that White students do not agree that they experience high levels of these two psychological strengths. White female students experienced higher levels of hope, gratitude, and life satisfaction, while no significant gender differences were found for generalised self-efficacy and self-esteem. The results of this study highlight the potential for using psychological strengths to promote well-being in racially diverse students.     

Political intolerance: the role of intergroup threat and negative intergroup emotion

This study investigated whether the perception of intergroup threat, and intergroup emotion, are related to political intolerance. One hundred and twenty three South African undergraduate students (females?=?76%; males?=?24%; White?=?65%; Coloured?=?24%; Indian?=?8%; Chinese?=?2%; mean age =?19.8, SD?=?3.03 years) were randomly assigned to either a heightened (n?=?68) or low intergroup threat condition (n?=?55). Data on intergroup threat, intergroup emotion and political intolerance were collected utilising a questionnaire. T-test effect comparisons including multiple regression analyses were computed to determine effects of intergroup threat and negative intergroup emotion on political intolerance. Results revealed negative intergroup emotion and perceived intergroup threat to predict political intolerance. Negative intergroup emotion mediated the relationship between perceived threat and political intolerance. These findings suggest that intergroup threat may lead to the rise of negative intergroup emotion which in turn creates an environment conducive to the development of political intolerance.     

Social support,social integration,and health-related quality of life over time: Results from the Fitness and Arthritis in Seniors Trial (FAST)

The present study tested whether baseline perceived social support and social integration predicted baseline and follow-up measures of health-related quality of life for 364 older adults with osteoarthritis. The findings are secondary analyses of a randomized controlled trial of an exercise intervention. Multiple regression analyses indicate that perceived social support was related to baseline measures of functioning in psychological (depressive symptoms, social functioning, and life satisfaction) and physical domains (self-rated disability, observed physical function, and perceived health), after accounting for demographic and clinical status factors. At 18-month follow-up (additionally controlling for exercise intervention and baseline outcomes), social support significantly predicted changes in psychosocial functioning, but was unrelated to changes in self-reported and observed physical health. The findings indicate that social support is an important predictor of long-term psychosocial outcomes, but is less important than baseline clinical status for physical health endpoints in this cohort of older adults. In contrast, social integration was not a consistent predictor of outcomes.