关节周围骨折手术入路探索的哲学思考

关节周围骨折多属于高能量损伤,临床处理相当困难,术后疗效差,现运用科学认识的规律,以康复理念为指导探索新的手术入路,并阐述新的手术入路与功能康复的辩证关系。     

Some thoughts between body and mind in the light of Wilma Bucci's multiple code theory

The author proposes the usefulness of Wilma Bucci's Multiple Code Theory in clarifying some controversial issues in psychoanalytically inspired psychosomatics. Definition of a dialectic among different entities may appear difficult in an unitarian view of the organism, where body and mind are seen as having no kind of intrinsic existence, which may be differentiated from the organism as a whole, but as two categories having to do with the perspective of the observer. This aporia may find a solution in a redefinition of the body-mind relationship as that between symbolic systems and the subsymbolic system, both of which may be viewed as mind or as body depending on the point of observation. Similarly, somatic pathology, if we accept an unitary paradigm, need no longer be viewed as due to an influence of 'mind' on 'body': a definition of pathology as linked to a disconnection between different systems, as found in Bucci's theory, is proposed as a possible solution. Emergence of somatic symptoms, however, besides being witness to disconnection, may be seen as the subsymbolic first expression of an item of content, an attempt at reconnection, as already proposed, in a way, by Winnicott in 1949. This attempt has much better opportunities to succeed when it finds an adequate container, as in analysis. A clinical situation of this kind is presented.     

4-6岁儿童言语理解中世界知识运用能力的发展

以90名4-6岁学前儿童作为研究对象,考察了这一年龄段儿童在言语理解中对世界知识的运用能力及其发展特点。实验要求被试确定测试句中代词TA的回指名词,该回指名词需要被试依据相关的世界知识进行判断。实验发现：（1）4-6岁儿童在言语理解中对于世界知识的运用能力随年龄的增长而不断提高。（2）4岁组儿童对世界知识的运用能力水平较低,与其他两组儿童相比存在较显著的差异性;5岁组和6岁组儿童对世界知识的运用能力差异较小。（3）儿童在言语理解中对于不同类型的世界知识的运用能力存在显著性差异。与对现实生活相关的世界知识的运用能力相比,各组儿童对童话语境相关的世界知识的运用能力更为灵活。这一差异性在4-5岁组儿童表现得更为显著。     

Can a before-school physical activity program decrease bullying victimization in disadvantaged children? The Active-Start Study

Background/ObjectiveTo test the effectiveness of an 8-week before-school physical activity program to reduce bullying victimization among a group of socially disadvantaged children in the Active-Start study.MethodA non-blinded randomized controlled trial was conducted in three public schools classified as highly vulnerable and located in a deprived area of Santiago (Chile). A total of 5 classes participated, totaling 170 fourth grade children. The intervention was delivered before starting the first school-class (8:00–8:30 a.m.). The program lasted for 8 weeks. Primary outcome measurement on bullying victimization was assessed by the CUBE questionnaire at baseline and post-intervention.ResultsThere was a statistically significant reduction in the probability of suffering physical bullying (OR= 0.18, 95% CI, 0.04-0.82; p= .027) and verbal bullying (OR=0.13, 95% CI, 0.02-0.97; p= .046) after the 8-week program.ConclusionsParticipation in an 8-week before-school physical activity intervention implemented in schools located in a disadvantaged district in Santiago (Chile) resulted in lower levels of bullying victimization among study participants. The Active-Start program may be a feasible and potentially scalable intervention option to improve the climate and pro-sociality environment at schools.     

Semantics for Dual and Symmetric Combinatory Calculi

We define dual and symmetric combinatory calculi (inequational and equational ones), and prove their consistency. Then, we introduce algebraic and set theoretical– relational and operational – semantics, and prove soundness and completeness. We analyze the relationship between these logics, and argue that inequational dual logics are the best suited to model computation.     

Quantum Logic in Intuitionistic Perspective

In their seminal paper Birkhoff and von Neumann revealed the following dilemma:[ ] whereas for logicians the orthocomplementation properties of negation were the ones least able to withstand a critical analysis, the study of mechanics points to the distributive identities as the weakest link in the algebra of logic.In this paper we eliminate this dilemma, providing a way for maintaining both. Via the introduction of the "missing" disjunctions in the lattice of properties of a physical system while inheriting the meet as a conjunction we obtain a complete Heyting algebra of propositions on physical properties. In particular there is a bijective correspondence between property lattices and propositional lattices equipped with a so called operational resolution, an operation that exposes the properties on the level of the propositions. If the property lattice goes equipped with an orthocomplementation, then this bijective correspondence can be refined to one with propositional lattices equipped with an operational complementation, as such establishing the claim made above. Formally one rediscovers via physical and logical considerations as such respectively a specification and a refinement of the purely mathematical result by Bruns and Lakser (1970) on injective hulls of meet-semilattices. From our representation we can derive a truly intuitionistic functional implication on property lattices, as such confronting claims made in previous writings on the matter. We also make a detailed analysis of disjunctivity vs. distributivity and finitary vs. infinitary conjunctivity, we briefly review the Bruns-Lakser construction and indicate some questions which are left open.     

Environmental education and socioresponsive engineering

A recent initiative at Muffakham Jah College of Engineering and Technology, Hyderabad, India, has resulted in setting up a program called Centre for Environment Studies and Socioresponsive Engineering which seeks to involve undergraduate students in studying and solving environmental problems in and around the city of Hyderabad, India. Two pilot projects have been undertaken — one focusing on design and construction of an eco-friendly house, The Natural House, and another directed at improving environmental and general living conditions in a slum area. The paper describes our attempts and experience of motivating our students to take interest in such projects. In an interesting development we invited a member of a student-faculty team at Massachusetts Institute of Technology (M.I.T.) that is doing a project in Nepal on safe drinking water. We report in our paper how the presentation by the guest from M.I.T. served as a catalyst for generating interest among civil and mechanical engineering students in our own projects. The paper includes contributions from one of our students and the M.I.T. staff member, reporting on their experiences related to the slum development project. We also discuss the Natural House project and its international and educational significance as a means of inculcating sensitivity and interest in nature among engineering students. We propose a pledge for engineers similar to the Hippocratic Oath for medical professionals.     

Trait lasting alteration of the brain default mode network in experienced meditators and the experiential selfhood

Based on the finding in novices that four months of meditation training significantly increases frontal default mode network (DMN) module/subnet synchrony while decreasing left and right posterior DMN modules synchrony, the current study tested the prediction whether experienced meditators (those who are practising meditation intensively for several years) had a change in the DMN “trinity” of modules as a baseline trait characteristic and whether this change is in a similar direction as in the novice trainees who practised meditation for only four months. Comparison of functional connectivity within DMN subnets (measured by electroencephalogram operational synchrony in the three separate DMN modules) between five experienced meditators and 10 naïve participants (who were about to start the meditation training) fully support the prediction. Interpretation that links such DMN subnets changes to the three-dimensional components of the experiential selfhood was proposed.     

Ambiguity, trust, and the responsible conduct of research

Ambiguity associated with everyday practice of science has made it difficult to reach a consensus on how to define misconduct in science. This essay outlines some of the important ambiguities of practice such as distinguishing data from noise, deciding whether results falsify a hypothesis, and converting research into research publications. The problem of ambiguity is further compounded by the prior intellectual commitments inherent in choosing problems and in dealing with the skepticism of one's colleagues. In preparing a draft code of ethics for the American Society of Biochemistry and Molecular Biology (ASBMB), an attempt was made to take into account the ambiguities of practice. Also, the draft code adopted trust as its leading principle, specifically the importance of trust as a condition necessary for there to be science. During revision of the code, the focus on trust was changed. The new orientation was on trust as a consequence of carrying out science responsibly. By addressing the obligations necessary to engender trust, the ASBMB ethics code not only sets professional standards, but also makes a clear statement of public accountability.     

An explication of the National Society of Genetic Counselors (NSGC) code of ethics

This article reviews the work carried out by the NSGC ad hoc Committee on Ethical Codes and Principles between 1986 and 1991 and serves as a guide for interpreting the NSGC Code of Ethics. The NSGC Code of Ethics is written from the ethic of care perspective. It is based on the responsibilities that arise from the four primary relationships genetic counselors experience in their work: genetic counselors and themselves, their clients, their colleagues, and society. The values selected for each relationship and the resultant guidelines are explained. The Code of Ethics became effective January 1, 1992.