大学生学校心理环境问卷的编制

目的:探索大学生学校心理环境的结构并进行问卷编制。方法:通过文献分析、现状分析和专家讨论形成问卷初始结构。在两次试测后,以262名大学生为正式样本进行因素分析、信效度分析和多元概化理论分析。结果:大学生学校心理环境结构包括:师生关系、同学关系、集体活动、专业发展、资源和制度与秩序六个因素。问卷的验证性因素分析结果表明,六因素模型和二阶因子模型拟合度均良好。结论:大学生学校心理环境问卷具有良好的信效度指标,可以作为大学生学校心理环境的测量工具。     

The concept of reflection: a systematic review and thematic synthesis across professional contexts

Reflection is widely endorsed by professional bodies and practitioners are required to document professional learning to evidence standards of professionalism. Due to the lack of a consensual definition for reflection, there is confusion regarding ‘what reflection is’. Prior to the development of an empirical evidence base that explores reflection, it is important to develop a consensually agreed concept and definition to guide experimental research. The aim of this systematic review is to understand the concept of reflection by performing a synthesis of existing conceptually oriented qualitative studies. Fourteen sources were included in a thematic synthesis that resulted in the construction of four analytical themes: cognitive, integrative, iterative and active. These themes were explored in relation to existing research and a novel definition of reflection was proposed. It is hoped that this review will encourage further enquiry into the concept and process of reflection.     

Questions for a Millennium: Religion and Science from the Perspective of a Scientist

This essay addresses a series of eight questions about what religion can do for science. It explores the secular role of religion in contemporary science and the need for greater synthesis between science and religion. It concludes that, for survival in the twenty-first century, religion cannot exist without acknowledging and using the enormous information pool of science, and science can no longer shun or ignore religion. Humankind will always need the large, synthetic explanations that religion provides of why we are here and what we ought to do and believe. The world needs to mark this new millennium with a sense of respect, cooperation, and even synthesis between science and religion.     

Balint groups in undergraduate medical education: a systematic review

Objective: Though Balint groups feature increasingly in UK medical school curricula, there is no evidence-based consensus on what undergraduates might gain from participation, and how this might happen. To address this, we systematically reviewed primary research studies involving medical student Balint groups and their relationship with patient-centredness, using narrative synthesis. Data sources: Four major databases were searched from origin until 9 September 2016. The Journal of the Balint Society was hand-searched from 1971 until 9 September 2016. Study selection: English language studies reporting quantitative and/or qualitative methods examining Balint groups in medical students vs. other/no comparator. Results: Eight studies were included. Quantitative findings report statistically significant improvements to student’s empathy and intellectual interest following group participation vs. control (p = 0.03, p = 0.046, respectively). Discussion content was similar across high-income countries. There was considerable heterogeneity when students rated the efficacy of groups. All evidence had high or unclear risk of bias, or was of medium/low quality. Conclusion: Balint groups might help medical students to become more patient-centred, by increasing students’ empathic abilities and supporting their personal and professional growth. Groups are more subjectively effective when optional rather than compulsory. Discussion content is comparable to groups in continuing medical education.     

Post-training, but not post-reactivation, administration of amphetamine and anisomycin modulates Pavlovian conditioned approach

The psychostimulant, amphetamine (AMPH), and the protein synthesis inhibitor, anisomycin (ANI), have been shown to modulate the consolidation and reconsolidation of several types of learning. To determine whether Pavlovian conditioned approach (PCA) is modulated in a similar manner, we examined the effects of post-training and post-reactivation administration of both AMPH and ANI on memory for PCA. Male Long-Evans rats received PCA training sessions during which presentations of a CS+ were followed by sucrose delivery. AMPH (1 mg/kg, s.c.) injected immediately but not 6h after the first training session enhanced PCA behavior. ANI (150 mg/kg, s.c.) injected immediately but not 3h after the first training session impaired PCA behavior. This impairment was not due to the development of a conditioned taste aversion. To examine whether PCA can also be modulated by post-reactivation administration of AMPH and ANI, rats were given an injection of AMPH, ANI, or vehicle immediately after a memory reactivation session. Upon testing, the behavior of both the AMPH- and the ANI-treated rats was unaffected. This result remained consistent when the experiment was repeated with changes to various behavioral parameters (i.e., amount of training, length of memory reactivation). These findings indicate that AMPH and ANI act during the post-training but not the post-reactivation period to enhance and impair, respectively, the learning of PCA. This suggests that the consolidation of PCA can be modulated in a manner comparable to other types of learned associations, but once learned, the memory appears to be relatively robust and stable.     

羟苯磺酸钙与培哚普利对早期糖尿病肾病大鼠的治疗作用比较

观察羟苯磺酸钙和培哚普利对早期糖尿病肾病大鼠肾脏的治疗作用的差别。测定24h尿白蛋白,血浆及肾皮质ET（内皮素,endothelin）含量,肾皮质PAI-1（纤溶酶原激活物抑制剂-1,plasminogen activator inhibitor-1）、MMP-9（基质金属蛋白酶-9,matrix metalloproteinase-9）表达,观察肾脏病理形态变化。从结果看,羟苯磺酸钙可以减轻实验大鼠肾脏损伤,作用与培哚普利无明显差别。     

解偶联蛋白2基因启动子-866G／A多态性与2型糖尿病的相关性研究

研究解偶联蛋白-2基因启动子常见-866G／A基因多态性（UCP2—866G／A）与2型糖尿病发病相关性。用多聚酶链反应-限制内切酶长度多态性技术检测了76例非糖尿病对照（NDM）和115例糖尿病患者（DM）的UCP2—866G／A基因型分布,并分析各基因型与胰岛功能、代谢参数的差异性。结果DM的AA基因型分布显著高于NDM（32．2％vs15．8％,χ^2=6．526,P〈0．038）。在NDM组GG型携带者空腹C肽（FCP）水平高于AA和GG组（两两比较分别为t=2．99,P=0．005和t=2．229,P=0．03）;在DM各基因型之间FCP和餐后2小时C肽（2hCP）情况与NDM对照相似,各基因型混和餐刺激后2hCP差异更加明显。结论为UCP2—866G／A基因多态性与大连地区2型糖尿病发病相关,该基因多态性主要影响胰岛β细胞分泌功能。     

Attunement in the Modern Age

This contribution starts from Max Scheler’s claim that modern philosophy holds two differing views on feelings. The first view, which Scheler attributes to René Descartes, presents them in their intentional role but rejects their independence; the other view, which Scheler attributes to Immanuel Kant, holds that they cannot be reduced to the rational part of the soul and thus affirms their independence, but deprives them of all cognitive powers. After considering both views, I discuss the views of Franz Brentano and Edmund Husserl. Husserl takes an ambivalent approach to attunement, which opens the possibility of understanding Martin Heidegger’s thought of fundamental attunement.

RELIGION ON WHICH THE DEVOUT AND SKEPTIC CAN AGREE

A starting point for a constructive exchange between two groups, devout religionists and scientific skeptics, is that they can hold certain religious ideas in common. These ideas, however, must preserve the compelling nature of religious commitment without unduly compromising rational sensibilities. In the histories of both science and religion progress has been made by synthesis. The definition of religion is a key issue for the success or failure of synthesis, and I propose a new definition. Both devout religionists and scientific skeptics must make compromises if synthesis is to be successful. For the devout these compromises include waiving the prerequisite of belief in the supernatural and placing behavior above belief. For the skeptic they include abandoning explanatory exclusivity, acknowledging the authority of moral experts, and recognizing the necessity of community in achieving moral excellence. I defend each of these compromises as reasonable and tolerable costs of integration.