Transition to Crisis-Free Development: A Myth or Reality?

This article substantiates the thesis that the outlines of the future and present can be made visible and comprehensible by applying a new methodology for cognition of regularities in the human community development. This methodology made it possible to define that there have been and are only two paradigms of the human system development in the entire multicentury course of the human community development. Cycles, crises, chaos, and all negative phenomena are nothing else but natural products of the second, indirect paradigm of development. The new model of life organization at each local level is at the same time the former, first development paradigm, based on the direct interconnection between production and consumption of specific human beings, but raised onto the new high-tech level. Practical realization of this model is the only feasible precondition for the transition to sustainable and crisis-free development.     

医师职业素养评测体系构建的研究进展

随着我国社会经济的发展,医疗体制的改革,医师职业素养的培养成为当今医疗体制下医学在校教育、住院医生培养、医疗卫生管理中必须关注的内容。目前国外对医师职业素养的培养做了大量的工作,也取得了较好的效果,但是对于职业素养的培养不仅需要理论教学的改革,更需要相应评估机制的建立。本文对国外医师执业素养评估的最新进展进行介绍,分析各种方法的优劣,以期为国内医学教育建立统一的、具有广泛公认度的测评体系提供参考。     

Reliability and validity of a cost-efficient sociometric measure

Sociometric measures have been used frequently to measure social status; however, reliable sociograms for young children usually involve time-consuming administrations. A group-administered, peer-rating sociogram, the Sociometric Peer-Rating Scale (SPRS), was devised and given to 217 first and second graders. Concomitantly, teacher nominations of children most liked, aggressive, or withdrawn and behavioral observations of the high- and low-SPRS children were obtained. After 7 months, the SPRS was readministered. On a separate population of eight kindergarten children, this sociogram and a similar, individually administered sociogram were given. Normative data, test-retest reliability, and split-half reliability were reported. The test-retest reliability was comparable to the reported reliability of other peer-rating sociograms, and the SPRS correlated significantly with teacher ratings of aggressiveness and likability and with the individually administered sociogram. The number of positive interactions was significantly different for high-versus low-SPRS children. The usefulness of the SPRS as a measure of social competence was discussed.This research was submitted by the author in partial fulfillment of the requirements of a master's degree at the Florida State University.I would like to thank the Master's committee, Wallace Kennedy, William Pelham, and Joseph Torgesen, and the participating schools, Developmental Research School of Florida State University and Woodville Elementary School of the Leon County School District, for their assistance in this study.     

A multidimensional measure of neighboring

The study reports the development of a short and easily administered questionnaire aiming at measuring dimensions of social life within neighborhoods. Principal-components analysis consistently extracted four factors replicated in three independent samples (N=96 to 1,060). The factors emerged as theoretically meaningful dimensions tapping the concepts of supportive acts of neighboring, neighbor annoyance, neighborhood attachment, and weak social ties. Factor invariance and factor replicability were high. Internal consistency, test-retest reliability, and construct validity yielded acceptable results. The principal virtue of the measure is that it may be applied to discern qualitative differences between neighborhoods by simultaneous assessments of several dimensions of neighboring. This research was financially supported by The Norwegian National Research Council. We thank Jostein Rise for valuable comments, and David R. Jacobs, Jr., and Melanie Young for advice in translating the questionnaire.     

Referees, editors, and publication practices: Improving the reliability and usefulness of the peer review system

The documented low levels of reliability of the peer review process present a serious challenge to editors who must often base their publication decisions on conflicting referee recommendations. The purpose of this article is to discuss this process and examine ways to produce a more reliable and useful peer review system. The author is a Senior Research Scientist & Biostatistician, Child Study Center and Department of Psychiatry in the Yale University School of Medicine. Note: The main points of this report were presented at the Annual Meeting of the American Association for the Advancement of Science (AAAS) in Baltimore, Maryland, on February 9, 1996.     

Quality of Life and Multiple Sclerosis: Comparison Between People with Multiple Sclerosis and People from the General Population

This paper evaluated the quality of life (QOL) of people with multiple sclerosis (MS) and people from the general population. Gender differences between the 2 groups of respondents and the influence of coping style on adjustment were also evaluated. The participants were 381 (144 males, 237 females) people with MS, and 291 (101 males, 190 females) people from the general population. The results demonstrated that people with MS experienced lower levels of QOL than people from the general population for both the objective and subjective dimensions of all domains (physical health, psychological adjustment, social relationships, environmental adjustment). All coping strategies (problem-focused, focusing on the positive, detachment, wishful thinking, seeking social support) were important predictors of QOL for both males and females with MS, with wishful thinking being the strongest predictor of poor QOL. These results are discussed in terms of the various factors that impact on QOL among people with MS, and the types of coping strategies that are most adaptive in improving the QOL of people with this illness.     

Flight into Security: A New Approach and Measure of the Authoritarian Personality

A basic pattern of human response to stressful and uncertain situations which provoke anxiety and insecurity is to seek security and shelter. Those who provide support become by a process of psychological attribution authorities. Therefore the mechanism of seeking support and shelter under strained conditions might be called an "authoritarian reaction." Socialization involves a negotiation with this basic reaction of flight in situations of uncertainty. As individuals develop, they learn to overcome the authoritarian reaction by formulating their own strategies to cope with reality. The authoritarian personality emerges out of an inability to generate such individual coping strategies. Authoritarian personalities defer to the dictates and control of others who offer them the certainty and comfort they cannot provide for themselves. Extensions of this basic authoritarian response are the rejection of the new and the unfamiliar, rigid adherence to norms and value systems, an anxious and inflexible response to new situations, suppressed hostility, and passive aggression. A new measure based on items on one's own behavior, feelings, motivation, and the individual's concept of the self was developed and tested in several empirical studies. It obtained a good reliability and proved to be valid by correlating to measures of right-wing extremism, negative attitudes toward immigrants and women.     

Defensive self-esteem and aggression in childhood

Research examining the association between self-esteem (SE) and aggressive behavior in childhood has produced mixed findings. Some of the confusion may stem from the fact that researchers have relied on explicit measures of SE, thus conflating two distinct types of positive self-regard: secure SE (characterized by high levels of explicit and implicit SE), and defensive SE (characterized by high levels of explicit but low levels of implicit SE). The current study tested the hypothesis that children with high levels of defensive, but not secure, SE would engage in higher levels of aggressive behavior. Ninety-three children completed measures of both explicit and implicit SE. Teachers assessed children’s level of physical and relational aggression in the school setting. As predicted, there was a positive association between explicit SE and aggression when levels of implicit SE were low, but not when levels of implicit SE were high.     

The brain is both neurocomputer and quantum computer

In their article, Is the Brain a Quantum Computer,? Litt, Eliasmith, Kroon, Weinstein, and Thagard (2006) criticize the Penrose–Hameroff “Orch OR” quantum computational model of consciousness, arguing instead for neurocomputation as an explanation for mental phenomena. Here I clarify and defend Orch OR, show how Orch OR and neurocomputation are compatible, and question whether neurocomputation alone can physiologically account for coherent gamma synchrony EEG, a candidate for the neural correlate of consciousness. Orch OR is based on quantum computation in microtubules within dendrites in cortex and other regions linked by dendritic–dendritic gap junctions (“dendritic webs”) acting as laterally connected input layers of the brain's neurocomputational architecture. Within dendritic webs, consciousness is proposed to occur as gamma EEG‐synchronized sequences of discrete quantum computational events acting in integration phases of neurocomputational “integrate‐and‐fire” cycles. Orch OR is a viable approach toward understanding how the brain produces consciousness.     

终末期肾脏疾病治疗的社会问题

终末期肾脏病是一种常见的导致劳动力丧失的疾病,在我国主要靠血液透析、腹膜透析或肾移植等替代治疗,医疗资源的不平衡分布致使只有部分患者能得以治疗,长期的替代治疗给患者的家庭造成巨大的经济负担,使患者对医护人员家庭成员等产生强烈的依赖感,从而使其处于焦虑、抑郁等负面心理状态,影响家庭与社会的稳定。针对这些社会和心理问题制定相关的行业规范是必需和必要的。