经济学评价在临床决策中的应用探讨

医生在临床工作中做出明确诊断,并据此给予有效的处理均属于决策过程。制定决策的整个过程,同时也是进行决策思维的过程。近年来,高新技术的迅猛发展以及医疗费用急剧增加,使制定决策更加复杂。如何进行正确的决策思维,做出最切实可行的和最佳的决策,对避免决策的盲目性具有重要的现实意义。     

Serial and parallel processing in reading: Investigating the effects of parafoveal orthographic information on nonisolated word recognition

We present a novel lexical decision task and three boundary paradigm eye-tracking experiments that clarify the picture of parallel processing in word recognition in context. First, we show that lexical decision is facilitated by associated letter information to the left and right of the word, with no apparent hemispheric specificity. Second, we show that parafoveal preview of a repeat of word n at word n + 1 facilitates reading of word n relative to a control condition with an unrelated word at word n + 1. Third, using a version of the boundary paradigm that allowed for a regressive eye movement, we show no parafoveal “postview” effect on reading word n of repeating word n at word n – 1. Fourth, we repeat the second experiment but compare the effects of parafoveal previews consisting of a repeated word n with a transposed central bigram (e.g., caot for coat) and a substituted central bigram (e.g., ceit for coat), showing the latter to have a deleterious effect on processing word n, thereby demonstrating that the parafoveal preview effect is at least orthographic and not purely visual.     

Lexical availability and grammatical encoding scope during spoken sentence production

Three sentence production experiments investigate the relationship between lexical and structural processing scope. Speakers generated sentences with varying phrase structures in response to visual displays (e.g., The dog and the hat move above the fork and the tree/The dog moves above the hat and the fork and the tree). On half of the trials, one of the pictures in the arrays was previewed. Filler sentences varied preview position and sentence structure from trial to trial. When speakers could not anticipate the position of the previewed picture in the upcoming sentence (Experiment 1), preview benefit for pictures corresponding to the second noun to be produced was limited to pictures that fell within the sentence-initial phrase. When the linear position of the previewed picture was predictable, preview benefits were observed for the second noun to be produced, irrespective of phrase position (Experiment 2). However, no preview benefits were observed for the third noun to be produced (Experiment 3). In contrast, significant effects of initial phrase structure were observed in all experiments, with latencies increasing with initial phrase length. The results are consistent with speakers operating a phrasal scope for structural planning within which the scope of lexical access can vary.     

The recognized benefits of negative thinking/affect in depression and anxiety: Developing a scale

Negative thinking/affect (NTA) in depression and anxiety is an important target of clinical intervention. However, individuals recognize the benefit of NTA. There is a need to develop a scale for empirical studies of NTA. Two‐hundred and fifty‐nine Japanese university students were assigned to answer: (a) the state in the past week (positive affect (PA) and Center for Epidemiologic Studies Depression Scale), (b) the current state (PA and State‐Trait Anxiety Inventory‐State (STAI‐S)), and (c) the usual state (PA and STAI‐Trait), after completing the Recognized Benefit of NTA Scale (RBNTA). Another 291 students completed the Rosenberg Self‐Esteem Scale and the Revised Life Orientation Test, after completing the RBNTA. Two weeks later, 76 participants completed the RBNTA. The RBNTA with nine subscales was developed after comparing the indices of fitness from 14 different factor solutions. The internal and test‐retest reliability and content validity were confirmed. Correlation analyses revealed that the recognition of trying to obtain benefits/avoid costs tends to associate with positive/negative affect and that most of such recognitions did not associate with self‐esteem and optimism.     

A binocular moving window technique to study the roles of the two eyes in reading

Readers utilize parafoveal information about upcoming words and read less well when this information is denied. McConkie and Rayner (1975) enabled this issue to be explored by developing the moving window paradigm in which the experimenter varies the amount or the quality of the parafoveal information available around the current fixation point. We present a novel binocular version of the moving window technique to study the roles of the two eyes in reading, and we describe a basic experiment allowed by this technique. In the binocular moving window paradigm, each eye contributes its own window to a composite binocular window onto the text. We studied the reading of single lines of text in three conditions: no windows, a symmetrical 8-letters-left and 8-letters-right window for each eye, and a leftward-skewed 14-letters-left and 2-letters-right window for each eye. Note that both eyes saw the composite window onto the text. We tested the hypothesis that readers could be encouraged to generate a greater binocular disparity to augment their window onto the text and to provide a greater preview for one eye. The data offered limited support for this prediction. We observed considerable individual differences in both baseline fixation disparity and in readers' response to the critical asymmetric [14,2] window.     

责任共担促进新手的互动决策获益：超扫描研究

采用基于近红外脑成像的超扫描技术, 考察了责任共担(即共同承担决策结果)对个体(专家和新手)的互动决策获益(即互动决策后个体的能力提升)的影响及脑机制。结果显示, 相比于非责任共担, 责任共担条件下新手的互动决策获益更高, 其与互动同伴在额极区域存在增强的脑间活动同步性; 并且, 额极的脑间活动同步性可预测新手的互动决策获益。综上, 责任共担可以有效促进新手的互动决策获益, 额极脑间活动同步性可能是潜在的脑机制。     

Does integral affect influence intentions to use artificial intelligence for skin cancer screening? A test of the affect heuristic

Objective: This study investigated how affect influences people’s processing of messages about risks and benefits of using autonomous artificial intelligence (AI) technology to screen for skin cancer. We examined integral affect (emotion derived during decision making) separately from incidental affect (extraneous mood states).

Design: Using the affect heuristic framework, we randomly assigned 273 participants to conditions featuring risk (high, low, uncertain) or benefit (high, low, uncertain) messages about AI. Following ‘affect-as-spotlight’, we also explored whether people’s integral affect towards skin cancer moderated the relationship between risk/benefit messages and AI screening intentions.

Outcomes: Perceived risk, perceived benefit, positive and negative affect toward AI, intention to use AI screening.

Results: After controlling for incidental affect and risk perceptions, we found that compared to low risk messages, uncertain risk messages increased participants’ negative affect toward AI, decreased positive affect toward AI, increased AI risk evaluations and reduced AI benefit evaluations. Perceptual variables significantly mediated participants’ intentions to use AI for risk messages but not benefit messages. No moderation effects were found.

Conclusions: Results suggest extending the affect heuristic framework to include uncertain risk conditions. Integral AI affect influenced people’s interpretation of messages, which then impacted likelihood to use AI technology for health.     

Asimetría en la amplitud perceptual: implicaciones para la presentación en parafóvea

Resumen

La amplitud perceptual, definida como la zona alrededor del punto de fijación de la que se extrae información funcional para el procesamiento, es mayor a la derecha que a la izquierda de éste, al menos cuando se procesa material verbal. Esta asimetría en la amplitud perceptual ha sido puesta de manifiesto con diferentes paradigmas experimentales que revisamos en este trabajo. Revisamos igualmente las distintas hipótesis que se han propuesto para su explicación, para concluir con algunas implicaciones que este dato pudiera tener para otros estudios que utilizan presentación de material verbal en parafóvea.     

单字词和复合词预视加工的差异性研究：词边界信息无影响

本实验采用眼动轨迹记录法并结合边界范式（Rayner, 1975），操纵单字词和双字复合词的首字为一致预视或假字预视，考察单字词和复合词预视加工的差异性。另外，通过在中文句子中加入词边界信息——词间阴影，以考察词间阴影对单字词和复合词预视加工的影响。实验结果表明，复合词的预视效应大于单字词，并且词间阴影对单字词和复合词的预视加工均没有显著影响。因此，与印欧语系相比，中文阅读中更大更强的预视效应需从更深层次的语言和认知因素进行探讨。该结果更倾向于支持词切分和词汇识别模型。     

Positive Public Health Ethics: Toward Flourishing and Resilient Communities and Individuals

Abstract

The COVID-19 pandemic is a global contagion of unprecedented proportions and health, economic, and social consequences. As with many health problems, its impact is uneven. This article argues the COVID-19 pandemic is a global health injustice due to moral failures of national governments and international organizations to prepare for, prevent and control it. Global and national health communities had a moral obligation to act in accordance with the current state of knowledge of pandemic preparedness. This obligation—a positive duty to develop and implement systems to reduce threats to and safeguard individuals’ and, communities’ abilities to flourish—stems from theories of global health justice and governance. The COVID-19 pandemic revealed and amplified the fragility and deficiencies in our global and domestic health institutions and systems. Moving forward, positive public health ethics is needed to set ethical standards for building and operating robust public health systems for resilient individuals and communities.