提倡“理性医疗”

“理性医疗”是对疾病进行科学、客观地综合分析,由此筛选出一个理性的处置方案的医疗过程。“理性医疗”不但有利于社会,有利于医患双方,更符合自然科学的规律,同时,对传统的伦理学观念也是一种补充与完善。“理性医疗”的实现需要医患双方的共同协作。     

Who benefits from independent careers? Employees,organizations, or both?

The traditional organizational career has been depicted as the classic example of how employers and employees can develop a mutually beneficial relationship; but changes in the competitive landscape and in individual work values have challenged its viability. Commentators have argued that a ‘new career’ deal, encapsulated by the notions of the protean and the boundaryless career, has emerged suggesting a shift in control of careers from organizations to individuals. Research has explored the implications for individuals' careers while largely neglecting consequences for organizations. Our paper seeks to remedy this by exploring both the individual and the organizational outcomes of independent career orientations and the extent to which organizations can manage these through high commitment human resource management (HRM) practices. Our study, conducted with 655 employee–supervisor dyads, indicates that a protean career orientation results in gains for both employees and organizations, whereas a boundaryless career orientation is associated with mutual losses. In addition, our findings suggest that high commitment HR practices play an important role in managing the outcomes of employees seeking traditional careers but have only a limited impact on those with a boundaryless career orientation.     

Applying a logic of appropriateness to understand behavioral differences between common resource dilemmas and public good dilemmas

Common resource dilemmas (CRDs) and public good dilemmas (PGDs) are distinct types of social dilemmas, yet they model the same underlying conflict between the collective interest and one's self-interest. Here, we study and interpret behavioral differences between these two main types of social dilemmas by applying a logic of appropriateness. In two experiments, we argue and demonstrate that CRDs, relative to PGDs, evoke higher levels of cooperation, because taking from collective property (in CRDs) is generally considered less appropriate than not giving from personal property (in PGDs). Importantly, these differential considerations of appropriateness are reflected not only in the willingness to cooperate but also in the willingness to punish and reward others' (non)cooperative behavior. Taken together, the findings reveal that CRDs and PGDs elicit different norms of appropriateness.     

Ethical Guidance for Selecting Clinical Trials to Receive Limited Space in an Immunotherapy Production Facility

Our aims are to (1) set forth a multiprinciple system for selecting among clinical trials competing for limited space in an immunotherapy production facility that supplies products under investigation by scientific investigators; (2) defend this system by appealing to justice principles; and (3) illustrate our proposal by showing how it might be implemented. Our overarching aim is to assist manufacturers of immunotherapeutic products and other potentially breakthrough experimental therapies with the ethical task of prioritizing requests from scientific investigators when production capacity is limited.     

Social aggression and resource conflict across the female life-course in the Bolivian Amazon

This work explores sources of conflict among forager-horticulturalist women in Amazonian Bolivia, and applies life history theory as a tool for understanding competitive and cooperative social networking behaviors among women. In this study, 121 Tsimane women and girls were interviewed regarding current and past disagreements with others in their community to identify categories of contested resources that instigate interpersonal conflicts, often resulting in incidences of social aggression. Analysis of frequency data on quarrels (N = 334) reveals that women target several diverse categories of resources, with social types appearing as frequently as food and mates. It was also found that the focus of women's competition changes throughout the life-course, consistent with the notion that current vs. future reproduction and quantity-quality trade-offs might have different influences on competition and social conflict over resources within women's social networks across different age groups.     

Are ‘Machiavellian’ Chinese children well‐adapted in the peer group? The relationship between resource acquisition strategies and social functioning and status

The purpose of the present study was to examine the relationship between resource acquisition strategies, social functioning and social status in Chinese children. A sample of nearly 500 Chinese children in elementary schools in Shanghai, China, participated in this study. The authors divided the sample into five resource acquisition strategies; based on self‐reported use of coercive and pro‐social strategies of resource control, they were ‘bistrategic controllers’ (Machiavellians), ‘coercive controllers’, ‘pro‐social controllers’, ‘non‐controllers’, or ‘typicals’. The results revealed that bistrategic controllers were the most effective in resource control, followed by pro‐social and coercive controllers: non‐controllers were the least effective. It also indicated that bistrategic and coercive controllers exhibited poor social functioning and low peer status; in contrast, ‘typical’ controllers emerged as possessing positive social functioning and high peer status. In addition, non‐controllers were not at risk with regard to social competence. The results indicate specific cultural ‘meanings’ of different resource acquisition strategies in Chinese children.     

Event-related cerebral hemodynamics reveal target-specific resource allocation for both “go” and “no-go” response-based vigilance tasks

Transcranial Doppler sonography was used to measure cerebral blood flow velocity (CBFV) in the right and left cerebral hemispheres during the performance of a 50-min visual vigilance session. Observers monitored a simulated flight of unmanned aerial vehicles for cases in which one of the vehicles was flying in an inappropriate direction relative to its cohorts. Two types of vigilance tasks were employed: a traditional task in which observers made button press (“go”) responses to critical signals, and a modification of the traditional task called the Sustained Attention to Response Task (SART) in which “go” responses acknowledged nonsignal events and response withholding (“no-go”) signified signal detection. Signal detections and global CBFV scores declined over time. In addition, fine-grained event-related analyses revealed that the detection of signals was accompanied by an elevation of CBFV that was not present with missed signals. As was the case with the global scores, the magnitude of the transient CBFV increments associated with signal detection also declined over time, and these findings were independent of task type. The results support the view of CBFV as an index of the cognitive evaluation of stimulus significance, and a resource model of vigilance in which the need for continuous attention produces a depletion of information-processing assets that are not replenished as the task progresses. Further, temporal declines in the magnitude of event-related CBFV in response to critical signals only is evidence that the decrement function in vigilance is due to attentional processing and not specific task elements such as the required response format.