腹股沟疝无张力修补术评价

目前,以腹股沟疝为主的无张力疝修补术,在国内外正在普及和推广,并逐渐得到了改进和完善。但是,仍有一些普外科医师,特别是基层医师,对这种新的手术方式还不够了解。本文通过总结2000例实施腹股沟疝无张力修补术的临床资料,与传统疝修补术相比,分析评价无张力疝修补术的优点、适应证、禁忌证及并发症防治。目的是提高一些同道们对无张...     

Social dreaming:competition or complementation to individual dreaming?

Social dreaming is presented as a method to explore the unconscious dimension of the social world. The theoretical position of social dreaming and its historical development is described. Two examples are given for the practical application of social dreaming, a professional meeting of psychotherapists and an experiential workshop dealing with the aftermath of trauma. It is suggested that social dreaming is complementary to individual dreaming and offers insights and explanations, as well as guidance on various levels for applications in clinical, organizational, institutional and social settings.     

Augustine's Ethics of Belief and AvoidingViolence in Religious Disputes

This article is a study of how Augustine's ethics of belief shaped his arguments against unbelief and its legacy in using coercion to settle disputes. After considering the arguments for belief presented by Augustine, the article studies how these were shaped by his understanding of the problem of evil and how the Fall influenced free will. What is noted to be of benefit in Augustine is that he offers arguments in favor of belief, and is convinced that he has shown unbelief to be based on unsound reasoning. By way of contrast, a number of theologians (such as Tertullian, John Calvin, and those under the heading of Reformed Epistemology) are considered who do not believe that arguments are necessary to support belief or reject unbelief. These are contrasted with Augustine and it is argued that they have significant shortcomings in this respect. However, the article concludes that Augustine could have gone farther in supporting the claim that it is clear that God exists, and his own shortcomings have been used to justify coercion in religious belief. If common ground is to be achieved this problem must be corrected and an adequate foundation for clarity must be established.     

What has fMRI told us about the Development of Cognitive Control through Adolescence?

Cognitive control, the ability to voluntarily guide our behavior, continues to improve throughout adolescence. Below we review the literature on age-related changes in brain function related to response inhibition and working memory, which support cognitive control. Findings from studies using functional magnetic resonance imaging (fMRI) indicate that processing errors, sustaining a cognitive control state, and reaching adult levels of precision, persist through adolescence. Developmental changes in patterns of brain function suggest that core regions of the circuitry underlying cognitive control are on-line early in development. However, age-related changes in localized processes across the brain, and in establishing long range connections that support top-down modulation of behavior, more effective neural processing for optimal mature executive function. While great progress has been made in understanding the age-related changes in brain processes underlying cognitive development, there are still important challenges in developmental neuroimaging methods and the interpretation of data that need to be addressed.     

Irrelevant Alternatives and Frankfurt Counterfactuals

In rejecting the Principle of AlternatePossibilities (PAP), Harry Frankfurt makes useof a special sort of counterfactual of thefollowing form: ``he wouldn't have doneotherwise even if he could have'. Recently,other philosophers (e.g., Susan Hurley (1999,2003) and Michael Zimmerman (2002)) haveappealed to a special class of counterfactualsof this same general form in defending thecompatibility of determinism andresponsibility. In particular, they claim thatit can be true of agents that even if they aredetermined, and so cannot do otherwise, theywouldn't have done otherwise even if they couldhave. Using as a central case an argument ofSusan Hurley's, I point out that thecounterfactuals in question are both``interlegal' and ``indeterministic', and I raisedoubts about whether this special class ofcounterfactuals have clear truth conditions. Finally I suggest that acknowledging thesepoints leads to an appreciation of the realstrength of Frankfurt-style examples.     

Why We Should Not Pay for Human Organs

The right to buy and sell human organs is challenged by the authors within the framework of a broad Christian perspective. Opposition to organ sales is argued in the light of the developing underclass of poor organ donors throughout the world who sell their organs to the rich. Very often neither the donors nor the recipients are fully informed about the medical risks involved in the procedure of organ transplantation.     

肝移植术中氧代谢的平衡原则

接受肝移植术的患者往往处于危重状态,常规的血流动力学指标已不能全面地反映术中病人的状况,通过对氧供和氧耗以及氧摄取率等氧代谢指标的观测,根据氧代谢的平衡原则,将各项指标综合运用,能更有效地指导术中的麻醉管理。     

急性呼吸功能不全的合理氧疗

氧疗是一项常用的临床治疗措施,主要用于改善急性呼吸功能不全病人的低氧血症。同使用其他药物一样,氧疗医嘱应包括氧流速、给氧装置、氧疗时间等内容。为保证氧疗的安全进行、减少氧疗并发症,应规范化地进行氧疗,在氧疗过程中给予密切的监测并随时评估其作用。     

“IF I WERE GOD”: EINSTEIN AND RELIGION

Designed as an introductory lecture for the conference “Einstein, God and Time,” this essay provides a brief survey of three sets of relations—between Einstein and time, God and time, and Einstein and God. The question is raised whether Einstein's rejection of absolute time held any implications for theology. It is argued that, despite Einstein's denial and his exemplary caution, the fact that Isaac Newton had associated absolute space and absolute time with a deity who constituted them meant that a revisitation of theological questions was inevitable. Consideration is then given to the time‐lessness and changelessness of God, with a brief reference to eschatological issues. The question whether there might be parallels between the renunciation of Newtonian time by physicists and by Christian theologians is discussed with reference to recent commentary on the eschatological thinking of Jürgen Moltmann. Whether Einstein himself would have sympathized with these theologies is to be doubted, given his antipathy to anthropomorphic and anthropopathic concepts of deity. Finally, in exploring Einstein's sometimes whimsical use of theological language, it becomes necessary to acknowledge that his well‐known affirmation of the complementarity of science and religion rested on a distinctive construction of religion that allowed him to say he was a “deeply religious unbeliever.” Attempts to categorize his convictions, or to appropriate them for conventional theistic purposes, miss their subtlety and their apophatic resonances.     

汉字识别中形旁亚词汇加工的发展研究

本研究利用语义相关判断 ,探讨儿童和成年人在汉字加工中是否存在形旁的语义激活。目标字是语义透明的合体字 (如“姐”) ;启动字选用两种与目标字语义无关的字 ,一种是共用形旁但语义不透明的合体字 (如“始”) ,一种是在频率、笔画等方面和共用形旁字匹配的无关控制字 (如“收”)。结果发现与无关控制字相比 ,儿童和成年人在共用形旁字上的“NO”反应得到了延迟 ,说明形旁可能被分解加工 ,其语义被激活。而且不同年级儿童和成年人的效应量不同 ,表明形旁的自动分解和语义激活可能存在着一个从非自动化到自动化的发展过程。与前人的诸多研究相结合 ,说明儿童和成年人对汉字的加工一样 ,是亚词汇与词汇加工并行进行的过程。