Quality of Life in the European Union and the United States of America: Evidence from Comprehensive Indices

The main question of this article is about the quality of life in the European Union and the United States measured by different comprehensive indicators (HDI, WBI, WISP, OLS, PWI, ABS, HLE). On the world scale moderately different levels of quality of life characterize the European Area and the US. In objective terms, the US is more at the top level regarding economy and science, whereas Europe is more at the top level regarding social concerns in a broad sense. In subjective terms, which means to rely on the usual subjective measures, the average of US population seems to be slightly better off than the average of the EU population. That said, the differences inside the EU are often more significant than those between the EU and the US. Many EU countries in Northern and Western Europe show higher satisfaction levels than the US, and Eastern Europe is especially low in respect to the satisfaction of its population. It is rather obvious that the choice of criteria and values influences the results of the comparisons of nations and supranational unions to a considerable degree.     

构建高质量的外科医学教育体系

医学教育是贯穿医疗职业生涯全过程的行为,是伴随医学进步和发展的重要工程.医学教育的质量直接影响医疗的质量和医学人才的素质,尤其是外科学领域,是以有创性的手段、方法治疗疾病.医生的职业素养、医疗水平均取决于医学教育的结果.医疗质量不能简单地用医生的学历衡量,学历教育是载体,其中应充实培养能力的教育项目、内容,以适应未来就职、就业的社会需求.医疗质量、医疗水平对医院而言是生命线,是生产力.同时,医生的教育及教育的质量是医疗质量的基础与保障.随着医学的飞速发展,医疗技术的日新月异,医学模式的改变,构建新的医疗环境下的医学教育体系,显得更为重要.     

胃肠道肿瘤的分子靶向治疗:未来的方向?

分子靶向治疗是这几年来消化道肿瘤治疗领域的热门话题.这类新一代的分子靶向生物治疗模式,将在临床治疗肿瘤实践中具有广阔的应用前景.从事肿瘤研究的临床医务人员需要综合归纳这些信息,融汇入自己的认知将之合理应用于患者.我们将真正进入传统的细胞毒性药物攻击与非细胞毒性靶向性药物相结合使用的时代,真正实现延长患者的生命,改善其生活质量的目标.     

医学教育发展的困局与突破

受“大跃进”思维模式影响,我国高等教育由精英化快速过渡到大众化,医学教育呈现出急剧膨胀的发展态势,在教育理念、培养体系、办学模式、学制结构、专业设置、教育质量等方面出现了许多新情况、新问题,陷入了发展困局.面对困局必须更新教育观念,加强统筹协调,推动医学教育科学发展.     

Child Care in The Netherlands: Trends in Quality Over the Years 1995-2005

The authors assessed the quality of child care in a representative national sample of 42 child-care centers in the Netherlands and compared it with the quality of care that researchers have found using similar samples in 1995 (M. H. van IJzendoorn, L. W. C. Tavecchio, G. J. J. M. Stams, M. J. E. Verhoeven, & E. J. Reiling, 1998) and 2001 (M. J. J. M. Gevers Deynoot-Schaub & J. M. A. Riksen-Walraven, 2005). In the present study, results showed a low level of overall process quality for the 2005 sample, measured by the Infant/Toddler Environment Rating Scale-Revised (T. Harms, D. Cryer, & R. M. Clifford, 2003) and the Early Childhood Environment Rating Scale-Revised (T. Harms, R. M. Clifford, & D. Cryer, 1998). The present authors found a significant decline in process quality in comparison with the 1995 and 2001 findings. They concluded that, from an international perspective, the Netherlands has lost its leading position in child-care quality compared with that from 10 years ago.     

Center-Based Care for Young Children: Examining Predictors of Quality

The authors collected information from caregivers, trained observers, and parents to investigate quality elements in child-care programs designed for young children in center-based settings. Participants were 75 parents of children aged 15 to 36 months and their caregivers from 13 child-care centers in a southeastern state. Observers collected indicators of program quality and process and structural quality indicators, including adult-child ratio, group size, use of planned activities, use of child-designated space, housekeeping activities, and caregiver-child interactions. Participants responded to questions regarding their child-rearing beliefs, social support networks, perceived stress levels, and demographic characteristics. The best predictors of higher quality care and sensitive caregiver-child interaction in centers were specialized caregiver training, higher adult-child ratios, use of planned activities, and less perceived stress by caregivers. Implications of these findings are discussed.     

Gender Differences in Drinking Motivations and Outcomes

To investigate gender differences in the dynaijiics of alcohol use, we gathered self-report data from male and female college students. Results of our experiment showed that dominance power motivations were correlated with negative drinking outcomes for both men and women; assertiveness power motivations were associated with negative outcomes only for women. For both sexes, a higher proportion of positive social motivations was associated with fewer negative drinking outcomes. We expect that, in addition to the more traditionally defined needs for dominance power shown to be important for drinking among men, women may use alcohol in relation to needs for assertiveness and self-expression.     

Effects of Emotional Factors Upon Recall

Bendig's (1) Pittsburgh Scales of Social Extraversion-Introversion (SEI) and Emotionality (Em) were translated so that they were of appropriate reading difficulty for children as well as for adults. The revised scales correlated highly (both .90) with the Pittsburgh scales, and they had high test-retest reliabilities (.92 and .89). Data from samples representing third grade to college ages were presented for the revised scales. SEI-Em correlations were nonsignificant for most subsamples, indicating that the revised SEI-Em scales are independent. Scale means were stable across ages. The revised scales should be considered as research instruments, since more representative normative data and validity data are still required. The scales should, though, facilitate developmental research in extraversion and emotionality.     

“We will work for you” – Social influence may suppress individual food preferences in a communicative situation in dogs

The level of motivation (i.e. incentive power) is thought to be one of the most important factors affecting performance and learning in various tasks. We investigated whether reward quality has an effect on the performance of family dogs in a two-way object choice test in which they can find the hidden food by relying on distal momentary human pointing cues. In three experiments we varied (1) the type of food reward according to the subjects’ own preference; (2) the quality of the reward offered at the same time in the indicated and not-indicated locations; and (3) the order of the high or low quality rewards in consecutive sessions. In Experiment 1, we first tested whether dogs prefer one kind of reward over another. Then one group was tested with the ‘preferred’ food as reward in the indicated bowl, while dogs in the other group received the ‘non-preferred’ food as reward. We did not find any difference between the performance and choice latencies of the two groups. In Experiment 2 for the first group, the indicated bowl contained a piece of carrot and the not-indicated bowl was empty. In the second group the indicated bowl contained carrot, but the not-indicated bowl contained sausage. According to a preliminary preference test, most dogs prefer sausage over carrot invariably. After 20 trials, the two groups performed surprisingly similarly. There was no difference found between groups in the number of correct choices, incorrect choices and non-choices. However, the comparison between the first and last five trials revealed that subjects who found sausage when they chose the not-indicated bowl (did not follow the pointing) chose the non-indicated bowl significantly more often toward the end of their test session. In Experiment 3, each dog received two sessions with 12 pointing trials in each. For the first session, one group was rewarded with sausage and the other with carrot upon choosing the indicated bowl. In the second session, the indicated bowl contained dry dog food for both groups. We found that correct choices and response latencies did not change over two sessions in the ‘sausage’ group. In the ‘carrot’ group, the dogs chose faster in the second session, but their performance did not improve; in fact, they chose the not-indicated bowl more often than the indicated bowl. As a conclusion, we can say that reward quality had some effect on dogs’ choice behavior in these experiments. The drop in their performance was not drastic, taking into account the general refusal to eat one of the ‘rewards’ (carrot) during the preference tests and also during the test trials. It seems that incentive contrast may play a relatively minor role in dog-human social interactions. Appropriate reward quality can be very important in asocial problem solving tasks, but, when interacting with humans, following human signals may override the effect of changed incentive power.     

Digit ratios,but not facial width-to-height ratios,are associated with the priority placed on attending to faces versus bodies

Testosterone has been linked to a sexual preference for bodies rather than faces. Low digit ratio (2D:4D) and high facial width-to-height ratio (WHR) are associated with high prenatal testosterone. We tested whether low 2D:4D and high facial WHR were correlated with a preference for bodies over faces. Our sample consisted of 109 college students (64 males). A two-way analysis of variance demonstrated a significant main effect of digit ratio on the priority placed on paying attention to faces or bodies such that low 2D:4D was linked to a preference for bodies, but the effect of sex was not significant. There were no significant interaction effects. Another two-way analysis of variance revealed no significant effects for facial WHR and attentional priority but significant associations between sex and attentional priority. There were no significant interaction effects. Our findings indicate that individuals with low digit ratios tended to pay more attention to bodies than to faces compared with individuals with higher digit ratios, independently of sex. We also found that males tended to pay more attention to bodies than to faces compared with females, independently of facial WHR.