老年人恶性肿瘤诊疗中的决策

恶性肿瘤已成为严重威胁老年人健康的疾病,而且其发生率还呈逐渐上升的趋势。如何处理好老年医学和肿瘤学的交叉问题,对老年人恶性肿瘤患者选择适当的诊疗方法,对减轻老年患者的痛苦,延长老年患者的生存时间具有重要意义。     

医师知识结构和思维方式与肺血栓栓塞症诊断

肺血栓栓塞症是常见的临床病症,因其临床表现多样,易发生误诊漏诊而导致较高的病死率。但“凡事预则立,不预则废”,充分掌握肺血栓栓塞症的知识、以正确的思维方式引导临床诊疗可以有效减少和避免误诊漏诊。     

Combinatory Logic and the Semantics of Substructural Logics

The results of this paper extend some of the intimate relations that are known to obtain between combinatory logic and certain substructural logics to establish a general characterization theorem that applies to a very broad family of such logics. In particular, I demonstrate that, for every combinator X, if LX is the logic that results by adding the set of types assigned to X (in an appropriate type assignment system, TAS) as axioms to the basic positive relevant logic B∘T, then LX is sound and complete with respect to the class of frames in the Routley-Meyer relational semantics for relevant and substructural logics that meet a first-order condition that corresponds in a very direct way to the structure of the combinator X itself. Presented by Rob Goldblatt     

‘That Most Difficult of Words’: A Therapeutic Relationship Across Divides

This paper describes the development of a therapeutic relationship of ten years' duration between an African American adolescent with severe conduct difficulties and anti-social behaviors, and a white, liberal Orthodox Jewish psychoanalyst. The developing capacity to mentalize and consider self in relation to other as well as the negotiation and reconciliation of various selves are two clinical concepts used to examine this seemingly improbable, yet undeniably, powerful relationship.     

Axiomatic and numerical conjoint measurement: An evaluation of diagnostic efficacy

Synthetic data are used to examine how well axiomatic and numerical conjoint measurement methods, individually and comparatively, recover simple polynomial generators in three dimensions. The study illustrates extensions of numerical conjoint measurement (NCM) to identify and model distributive and dual-distributive, in addition to the usual additive, data structures. It was found that while minimum STRESS was the criterion of fit, another statistic, predictive capability, provided a better diagnosis of the known generating model. That NCM methods were able to better identify generating models conflicts with Krantz and Tversky's assertion that, in general, the direct axiom tests provide a more powerful diagnostic test between alternative composition rules than does evaluation of numerical correspondence. For all methods, dual-distributive models are most difficult to recover, while consistent with past studies, the additive model is the most robust of the fitted models.Douglas Emery is now at the Krannert Graduate School of Management, Purdue University, West Lafayette, IN, on leave from the University of Calgary.     

基于理想作答反应构建的非参CD-CAT选题策略

研究提出了两种简单有效且适用于混合计分的非参数选题策略（DWIR和HDWIR）,通过模拟研究将DWIR和HDWIR与参数的选题策略比较,结果发现：(1)DWIR和HDWIR算法简单,容易理解,前提条件少,应用条件易满足;(2)DWIR和HDWIR适用性广,不仅可用于01计分和多级计分的题目选题,亦适用于参数的CD-CAT和非参数的CD-CAT;(3)DWIR和HDWIR的属性分类准确性高于带曝光控制的参数选题策略,且选题速度较快;(4)DWIR和HDWIR的曝光控制效果好,且为自带曝光控制的选题策略,无需在选题策略中外加曝光控制,简化选题策略。     

患者的诊治期望值与医患矛盾的关系研究

从患者视角来探索医患矛盾发生的原因,寻找一种有效的医患沟通方法。研究认为医患矛盾的核心问题是患者对诊治期望值的不满意,通过构建以患者诊治期望值为主体的医患沟通方法,发现医生和患者之间对诊治期望值存在明显差异。医生通过对医患之间存在的差异性诊治期望值进行充分沟通,形成医患诊治期望值差异下的共识,建立互信合作的关系,最终实现医患互惠共赢。以患者诊治期望值为主体的医患沟通方法,为避免医患矛盾发生,促进和谐医患关系提供一种新的思路。

     

人工智能辅助的自闭症早期患者的筛查与诊断

自闭症谱系障碍(AutisticSpectrumDisorders,ASD)的症状早在婴幼儿期就会显现,越早发现,越早干预,治疗效果越好。传统自闭症早期筛查与诊断在评估方法、流程上存在局限,无法满足大规模筛查和诊断需求。随着人工智能技术的快速发展,使用智能化方法进行自闭症早期大规模无感筛查与诊断逐渐成为可能。近10年间,国内外对自闭症智能化识别方法的探索在经典任务行为、面部表情和情绪、眼动、脑影像、运动控制和运动模式、多模态6个领域积累了丰富的研究成果。未来研究应围绕构建国内自闭症早期智能医学筛查与诊断体系,开发针对婴幼儿患者的筛查工具,构建融合多模态数据的自闭症婴幼儿智能化识别模型,建立结合脑影像技术的自闭症精细化诊断方法等方面来开展。     

医生健康素养认知调查及内涵探析

调查医生对健康素养概念及内涵、健康教育方式、存在问题等方面的认知情况。调查显示,一半以上的医生对健康素养了解程度一般,96.3%的医生认为病人的健康素养一般或差,96.7%的医生认为其有责任对病人进行健康教育,同时86.2%的医生认为医生健康素养与病人有区别。基于调查,提出医生健康素养应该具有双重属性,第一重属性为医生作为个体应该具备维持和促进自身健康的知识和能力;第二重属性为作为医生应该具备的本科室常见病相关健康教育知识、运用健康知识,针对病人健康问题进行有效沟通,提高病人健康素养水平的能力。