大型教学医院应加强肿瘤疾病数据库的建设

建立恶性肿瘤疾病数据库（carcinoma cases database,CCD）来管理肿瘤患者的临床资料是临床医学信息化、现代化的迫切要求和必然趋势。大型教学医院应充分利用资源优势,遵循可行性、实用性原则,加强CCD的建设,以实现对肿瘤病人临床资料规范、系统、便捷的管理,更好地开展临床、教学和科研工作,评估肿瘤疾病的疗效及完善病例的随访追踪。     

Is Educational Research Any Use?

We begin by examining the widespread scepticism about the value of empirical educational research that is found within sections of the philosophy of education community. We argue that this scepticism, in its strongest form, is incoherent as it suggests that there are no educational facts susceptible of discovery. On the other hand, if there are such facts, then commonsense is not an adequate way of accessing them, due to its own contested and variable nature. We go on to examine the claim that teaching is a moral enterprise whose successful pursuit demands the grasp of moral concepts and their implications. We show that while this is the case, it is a necessary, not a sufficient condition for successful teaching, which also requires a grasp of facts that are relevant to effective teaching and learning. Finally we examine some protocols for educational research. John Gingell, John Gingell is head of philosophy programmes at the University of Northampton, UK. He is the author, with Ed Brandon, of ‘In Defence of High Culture’ (Blackwell 2000) and (with Christopher Winch) ‘Philosophy and Education Policy: a critical introduction’ (Routledge 2004). Christopher Winch teaches at King’s College, London, UK. He is the author of ‘The Philosophy of Human Learning’ (Routledge 1998) and ‘Education, Autonomy and Critical Thinking’ (Routledge, forthcoming, 2005).     

青少年药物滥用的防治

随着社会转型所带来的生活方式多元化,青少年药物滥用现象,在威胁着青少年身心健康的同时,也破坏了社会的和谐与发展。一般来说,其形成原因包括自身、家庭、学校和社会等多种因素,因而,预防和解决青少年药物滥用问题,就需要建立一套涉及多个层面的防治体系。     

Qualitative research in psychology: Attitudes of psychology students and academic staff

Qualitative research is experiencing a resurgence within the field of psychology. This study aimed to explore the range of attitudes towards qualitative research in psychology held by students and academics, using the model of attitudes by Eagly and Chaiken as a framework. Twenty‐one psychology students and academics were interviewed about their attitudes towards qualitative research. Interviews were transcribed and analysed using thematic analysis. While qualitative research was described as inherent to the psychology profession and useful for generating rich data, some participants felt that this approach was not well respected or considered as legitimate as quantitative methods. Reflecting common misperceptions about qualitative research, participants also expressed concerns that qualitative research was too subjective and had limited generalisability. Furthermore, some participants felt that they lacked the skills and confidence necessary to conduct qualitative research. Large investments in time and resources were identified as barriers to undertaking qualitative research. Identifying attitudes towards qualitative research provides a basis for future work in dispelling myths, promoting attitudinal change and increasing both the use and teaching of qualitative approaches in psychology.     

A multilevel framework for understanding relationships among traits,states, situations and behaviours

A conceptual and analytic framework for understanding relationships among traits, states, situations, and behaviours is presented. The framework assumes that such relationships can be understood in terms of four questions. (1) What are the relationships between trait and state level constructs, which include psychological states, the situations people experience and behaviour? (2) What are the relationships between psychological states, between states and situations and between states and behaviours? (3) How do such state level relationships vary as a function of trait level individual differences? (4) How do the relationships that are the focus of questions 1, 2, and 3 change across time? This article describes how to use multilevel random coefficient modelling (MRCM) to examine such relationships. The framework can accommodate different definitions of traits and dispositions (Allportian, processing styles, profiles, etc.) and different ways of conceptualising relationships between states and traits (aggregationist, interactionist, etc.). Copyright © 2007 John Wiley & Sons, Ltd.     

丁文江与中医——对张起钧与伊广谦关于丁文江之死两文的批评

1丁文江其人丁文江(1887-1936),字在君,江苏泰兴人。1902年,16岁东渡日本,过“谈革命,写文章”的生活。1904年转赴英国,先在东部一个斯堡尔丁镇的中学就读二年。1906年考入剑桥大学,由于财力不济,上了半年便赴欧洲大陆游历。1907年夏去英国格拉斯哥,在一所工科学院(Technical College)选课一年。翌年报考伦敦大学医科,应试未能遂愿,于是改入格拉斯哥大学,主修动物学,副科为地质学,最后一年又将地质学列入主科,地理学为副科。1911年从该校“动物学和地质学双科毕业”,4月回国[1]。1913年,丁文江就任民国政府工商部矿政司地质科科长。次年,北…     

Drive for thinness, affect regulation and physical activity in eating disorders: a daily life study

Using Ecological Momentary Assessment, the within patient associations between drive for thinness, emotional states, momentary urge to be physically active and physical activity were studied in 32 inpatients with an eating disorder. Participants received an electronic device and had to indicate at nine random times a day during 1 week their momentary drive for thinness, positive and negative emotional states and their urge to be physically active and physical activity. Multilevel analyses indicated that patients with higher mean levels for urge to be physically active were characterized by lower body mass index (BMI) and chronically negative affect whereas patients with higher mean levels for physical activity were characterized by lower BMI and higher dispositions for drive for thinness. In addition, within patient relations between drive for thinness and urge to be physically active were moderated by BMI and chronically negative affect whereas within patient relations between drive for thinness and physical activity were moderated by BMI. Finally, also positive emotional states were significantly associated with physical activity within patients. By using a daily process design, characteristics of physical activity were revealed that have not been identified with assessment methods that have a lower time resolution.     

胃肠道双重造影对胃肠道病变诊断的临床思维方法

从方法学原理的角度,通过对胃肠道双重造影征象分析和综合的辩证思维,经过整体和局部相结合,从一般到特殊,由现象到本质,全面客观,纵横联系的认识过程,探讨和研究胃肠道双重造影对胃肠道疾病诊断的科学思维方法,提高、改进影像科医生的临床思雏,对提高医疗水平有着重大的意义。     

论学习迁移规律在中医教学过程中的地位与作用

学习迁移泛指一种学习对另一种学习的影响,一般指先前学习已获得的知识、技能、方法和态度对以后学习新的知识技能及研究解决问题的影响。通过学习迁移现象在中医教学过程中的不同表现,指出学习迁移规律是符合中医的教学规律的,有意识地应用学习迁移规律能够很好地促进中医教学,并就如何应用学习迁移规律改进中医教学提出了自己的看法。