社区卫生服务——体现效率与公正特征的改革之路

社区卫生服务比较全面地体现了公正与效率的原则，是卫生改革的一项重大举措。它公正有效地突破了固有的卫生体制；公正有效地实现了“人人享有初级卫生保健”的目的；公正有效地推进了医学模式的转移；公正有效地抓住了纠风的症结；公正有效地解决了医疗费居高不下的顽症。     

Cyclist efficiency and its dependence on infrastructure and usual speed

Bicyclists are a heterogeneous group, with varying abilities, traffic education and experience. While efficiency was identified as an important factor on utility bicycle trips, it might be traded for experienced safety, for example by choosing different pathways in a given situation, or by relinquishing one’s right of way. In a semi-controlled study with 41 participants, a grouping was made according to self-reported riding speed in relation to other cyclists. The participants cycled twice along a 3 km inner-city route, passing four intersections with different priority rules. The cyclists were free to choose how to negotiate the intersections. Speed and the traffic surroundings were recorded via gps and cameras on the bike of the participant and of a following experimenter. For each cyclist, the ‘base’ speed on undisturbed segments was determined as reference. Based on this, the efficiency in different types of intersections was computed per cyclist group. It turned out that infrastructural aspects, cyclist group and the presence and behaviour of interacting traffic influenced cyclist efficiency. Faster cyclists were delayed more when the infrastructure required a stop regardless of the traffic situation, like at a red traffic light or a stop sign. The members of the so-called ‘comfort cyclists’ group were delayed the most in a roundabout with mixed traffic, where many chose to get off their bike and walk. In a society working for equality of access to the transport system, it is recommended to develop solutions that consider and accommodate the behaviours of different cyclist groups when planning bicycling infrastructure.     

Underestimation of prior remembering and susceptibility to false memories: two sides of the same coin?

In two studies, we explored whether susceptibility to false memories and the underestimation of prior memories (i.e., forgot-it-all-along effect) tap overlapping memory phenomena. Study 1 investigated this issue by administering the Deese/Roediger–McDermott task (DRM) and the forgot-it-all-along (FIA) task to an undergraduate sample (N = 110). It was furthermore explored how performances on these tasks correlate with clinically relevant traits such as fantasy proneness, dissociative experiences, and cognitive efficiency. Results show that FIA and DRM performances are relatively independent from each other, suggesting that these measures empirically apparently refer to separate dimensions. However, they do not seem to define different profiles in terms of dissociation, fantasy proneness, and cognitive efficiency. Study 2 replicated the finding of relative independence between false memory propensity (as measured with the DRM task) and the underestimation of prior memories (as measured with an autobiographical memory dating task) in people with a history of childhood sexual abuse (N = 35).     

Instruction and load effects on high-skill and low-skill individuals: A study in the domain of mental arithmetic

What happens when people are asked to respond as quickly or as accurately as possible? This study tested the effects of speed/accuracy instructions and working-memory load on people's strategy efficiency and strategy selection. Adult participants solved simple addition problems (Experiment 1) and simple multiplication problems (Experiment 2) under load and no-load conditions and provided trial-by-trial strategy reports. High-skill participants were more efficient than low-skill participants, but the underlying causes of these skill-related effects differed across experiments. In the addition experiment, high-skill participants responded adaptively to the changing situations by changing their strategy choices, which resulted in smaller effects on their actual performance. Low-skill participants in contrast, did not change their strategy choices as adaptively, which resulted in less efficient performance—and especially so under load conditions. In the multiplication experiment, high-skill and low-skill participants differed in strategy efficiencies rather than in strategy choices. In the discussion, the results are further interpreted and future adaptations for the adaptive strategy choice model (ASCM; Siegler & Jenkins, 1989) are suggested.     

On Categorical Equivalences of Commutative BCK-algebras

A commutative BCK-algebra with the relative cancellation property is a commutative BCK-algebra (X;*,0) which satisfies the condition: if a ≤ x, a ≤ y and x * a = y * a, then x = y. Such BCK-algebras form a variety, and the category of these BCK-algebras is categorically equivalent to the category of Abelian ℓ-groups whose objects are pairs (G, G ₀), where G is an Abelian ℓ-group, G ₀ is a subset of the positive cone generating G ⁺ such that if u, v ∈ G ₀, then 0 ∨ (u - v) ∈ G ₀, and morphisms are ℓ-group homomorphisms h: (G, G ₀) → (G′,G′₀) with f(G ₀) ⫅ G′₀. Our methods in particular cases give known categorical equivalences of Cornish for conical BCK-algebras and of Mundici for bounded commutative BCK-algebras (= MV-algebras). This revised version was published online in June 2006 with corrections to the Cover Date.     

学习困难学生认知加工机制的研究

采用两因素混合实验设计,在严格控制条件下,比较了学困生和学优生在工作记忆容量上的差异,并在此基础上引入提示程序进一步探讨,学困生ＷＭ容量低主要是由存贮能力造成的还是由加工效率造成的或是两者时起作用的问题。     

How pigeons discriminate the relative frequency of events.

This study examined how pigeons discriminate the relative frequencies of events when the events occur serially. In a discrete-trials procedure, 6 pigeons were shown one light nf times and then another nl times. Next, they received food for choosing the light that had occurred the least number of times during the sample. At issue were (a) how the discrimination was related to two variables, the difference between the frequencies of the two lights, D = nf - nl, and the total number of lights in the sample, T = nf + nl; and (b) whether a simple mathematical model of the discrimination process could account for the data. In contrast with models that assume that pigeons count the stimulus lights, engage in mental arithmetic on numerons, or remember the number of stimuli, the present model assumed only that the influence of a sample stimulus on choice increases linearly when the stimulus is presented, but decays exponentially when the stimulus is absent. The results showed that, overall, the pigeons discriminated the relative frequencies well. Their accuracy always increased with the absolute value of the difference D and, for D > 0, it decreased with T. Performance also showed clear recency, primacy, and contextual effects. The model accounted well for the major trends in the data.     

Relative Value Units: Using the New “Currency” for Measuring Clinical Productivity in a Productivity/Incentive Plan

This paper presents an overview of a productivity/incentive plan for faculty in an academic medicine center's department of behavioral medicine and psychiatry. The model utilizes the Resource-Based Relative Value Scale (RBRVS) for its measurement of clinical productivity. The paper provides an introduction to RBRVS terminology and how the RBRVS system was developed. The productivity/incentive plan developed for the Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, is described. The advantages and limitations of utilizing Relative Value Units (RVUs) in a productivity model are discussed. The paper may provide helpful insights to those charged with developing productivity/incentive plans at other academic health science centers.     

Political Power and Race Relations in South Africa: African Attitudes Before and After the Transition

When an oppressed majority finally gains political power, what happens to its attitudes to its erstwhile oppressor, and to its perceptions and feelings about its socioeconomic disadvantages that were established during its oppression? Longitudinal data from pre- and post-transition surveys of black South African college and high school students indicate marked reductions in perceptions of and outrage about intergroup socioeconomic inequity and deprivation relative to English-speaking and Afrikaans-speaking whites, but no change in attitudes toward these groups or toward whites in general. The findings are discussed in terms of contemporary theory and research on justice, intergroup relations, and group conflict. Some tentative implications for the prospects for a democratic political culture in South Africa are noted.     

不确定性风险选择的抱负水平—相对效用整合理论

本文认为不确定性风险决策备择方案的选择标准既不是规范效用理论所主张的效用最大化,也不只是研究者们基于西蒙有限理性决策理论而提出的抱负水平,而是存在于决策不同阶段上的、由启发式策略控制着的这两种标准的整合,我们称之为抱负水平－相对效用整合标准。为此,我们在研究抱负水平结构的基础上提出了负险选择的抱负水平－相对效用整合理论及其支持性研究证据,并就有关问题进行了讨论与思考。指出抱负水平－相对效用整合是风