湖北省保健干部健康状况主要影响因素分析

为了解保健干部健康状况的主要影响因素,对2003年～2005年湖北省830名保健干部健康体检结果和其主要影响因素进行分析研究,发现性别、年龄、BMI、吸烟、饮酒是影响该人群体检指标的主要因素。为了健康,控制体重、戒烟、限酒,养成好的生活习惯很有必要,这给该人群的健康促进工作指明了重点。     

The Spanish language version of the Eating Disorder Examination Questionnaire: comparison with the Spanish language version of the eating disorder examination and test-retest reliability

This study compared the Spanish language questionnaire (S-EDE-Q) and interview (S-EDE) versions of the Eating Disorder Examination and examined the short-term test-retest reliability of the questionnaire version. Seventy-seven monolingual Spanish-speaking Latina women recruited from the community completed the S-EDE-Q and were then administered the S-EDE by fully bilingual doctoral-level research clinicians. The same assessment was repeated after approximately one week (5-14 days). The S-EDE-Q and the S-EDE were significantly correlated on frequencies of binge eating and all four subscales. Mean differences in the frequency of binge eating and the Restraint subscale were not significant, but scores on the Eating Concern, Weight Concern, and Shape Concern subscales differed significantly, with the S-EDE-Q yielding higher scores. Test-retest reliability for the S-EDE-Q was modest for binge eating but was excellent for the subscales (Spearman rho ranged 0.71-0.81), albeit somewhat variable for the individual items. Overall, the acceptable convergence between the S-EDE-Q and the S-EDE for many features of eating disorders and the good short-term test-retest findings provide preliminary support for the use of the S-EDE-Q. These findings, derived using a non-clinical sample of monolingual Spanish-speaking Latina women, require replication and extension. Evaluation with a clinical sample is necessary to further establish the reliability of the S-EDE-Q with an eating disordered group.     

Juvenile prostitution and community rehabilitation: an exploratory analysis of beliefs and values

A community, juvenile prostitution rehabilitation programme in Bogotá, Colombia, South America is described; and beliefs and values of the residents were explored. Multiple sorting procedures and multi‐dimensional scaling analysis elicited qualitative, structured, self‐report data, and investigated cognitive constructs. Participants discriminated between belief‐statements along two global dimensions: street‐life and prostitution; and rehabilitation. These were comprised of qualitatively different elements. Clinical implications for interventions with this group and the rehabilitation programme are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Improving Service Evaluation in Clinical Genetics: Identifying Effects of Genetic Diseases on Individuals and Families

Outcome measurement in clinical genetics is challenging. Outcome attributes used currently have been developed by service providers or adapted from measures used in other areas of healthcare. Many of the ‘patients’ in clinical genetics are healthy but at risk of developing or transmitting a condition. Usually no pharmacological or surgical treatment is offered, although information-giving is an objective of most consultations. We argue that services should be evaluated on the basis of how well they alleviate the effects of disease, from a patient perspective. This paper describes a qualitative study using seven focus groups with health professionals, patients and patient representatives. Social and emotional effects of genetics diseases were identified. Some differences emerged between the effects identified by health professionals and those identified by patients. These findings will be used to inform the evaluation of existing outcome measures and develop robust measures of outcome for clinical genetics services.     

Effect size, power, and sample size determination for structured means modeling and mimic approaches to between-groups hypothesis testing of means on a single latent construct

While effect size estimates, post hoc power estimates, and a priori sample size determination are becoming a routine part of univariate analyses involving measured variables (e.g., ANOVA), such measures and methods have not been articulated for analyses involving latent means. The current article presents standardized effect size measures for latent mean differences inferred from both structured means modeling and MIMIC approaches to hypothesis testing about differences among means on a single latent construct. These measures are then related to post hoc power analysis, a priori sample size determination, and a relevant measure of construct reliability.I wish to convey my appreciation to the reviewers and Associate Editor, whose suggestions extended and strengthened the article's content immensely, and to Ralph Mueller of The George Washington University for enhancing the clarity of its presentation.     

浅谈分子生物学与临床医学研究的结合

随着分子生物学理论和技术从基础研究渗透到临床各个学科,对临床诊断和治疗水平的提高起到了积极的推动作用。但在实际工作中还存在着发展不平衡以及认识与理解上的误区。就分子生物学与临床医学研究的相结合的现状、存在问题及相应对策,以及今后我国临床医学分子生物学研究的发展前景进行了较广泛深入的讨论。     

Narcissism and Grace: Inherent Incompatibility

Narcissistic conditions are highly prevalent in clinical treatment settings. However, most developmental theories include only maturational and interpersonal aspects of functioning without including spiritual and Christian-based factors. In working with narcissistic disorders, it is necessary for the patient to incorporate grace and forgiveness into their sense of self, through the transmuting internalization of vicarious introspection of the therapist. This paper asserts that grace is a necessary and vital prerequisite for developmental and spiritual growth. Specific examples are included to help therapists identify and work within the therapeutic transference to help the patient integrate grace into their identity.     

LP方法及其与三种常用DIF检测方法的比较

本研究基于项目反应理论,提出了一种检验力高且犯Ⅰ类错误率小的检测DIF的新方法：LP法（Likelihood Procedure）,且以2PLM下对题目进行DIF检验为例介绍此法。本文通过与MH方法、Lord卡方检验法和Raju面积测量法三种常用的检验DIF的方法比较研究LP法的有效性,同时探讨样本容量、测验长度、目标组和参照组能力分布的差异、DIF值大小等相关因素对LP法有效性可能产生的影响。通过模拟研究,得到以下结论：(1)LP法比MH法及Lord卡方法更灵敏且更稳健;(2) LP法比Raju面积测量法更合理;(3)LP法的检验力随着被试样本容量或DIF值的增大而增大;（4）当参照组与目标组的能力无差异时,LP法在各种条件下的检验力比参照组与目标组的能力有差异时的检验力高;（5）LP法对一致性DIF和非一致性DIF都有良好的检验力,且LP法对一致性DIF的检验力比对非一致性DIF的检验力高。LP法可以简便的扩展并运用到多维度、多级评分项目上。     

小学生考试粗心现象的心理分析

对314名小学3～5年级学生考试粗心情况、神经活动特性.以及书写水平的测试,揭示了小学生考试粗心现象与神经活动特性与书写水平之间的关系.结果显示: (1)小学生考试粗心现象与其皮质神经的活动强度没有必然的联系,与其皮质神经活动的均衡性也没有必然的联系; (2)小学生考试粗心程度与个体的书写水平呈中等程度的正相关.