周围神经嵌压症诊治过程中的临床思维

运用自然辩证法培养良好的临床思维,指导周围神经嵌压症的诊治过程,有助于获得最佳诊治效果。诊断过程中需全面了解理论知识,学会科学观察,兼顾整体与局部的关系,通过合理分析与综合,可以做出确切诊断。治疗过程中需对有关医师的技术进行评价,采用控制论及系统论方法指导治疗,才能恢复周围神经的结构与功能。     

Strategy generalization across orientation tasks: testing a computational cognitive model

Humans use their spatial information processing abilities flexibly to facilitate problem solving and decision making in a variety of tasks. This article explores the question of whether a general strategy can be adapted for performing two different spatial orientation tasks by testing the predictions of a computational cognitive model. Human performance was measured on an orientation task requiring participants to identify the location of a target either on a map (find-on-map) or within an egocentric view of a space (find-in-scene). A general strategy instantiated in a computational cognitive model of the find-on-map task, based on the results from Gunzelmann and Anderson (2006) , was adapted to perform both tasks and used to generate performance predictions for a new study. The qualitative fit of the model to the human data supports the view that participants were able to tailor a general strategy to the requirements of particular spatial tasks. The quantitative differences between the predictions of the model and the performance of human participants in the new experiment expose individual differences in sample populations. The model provides a means of accounting for those differences and a framework for understanding how human spatial abilities are applied to naturalistic spatial tasks that involve reasoning with maps.     

METANEXUS 2007: THE CHALLENGE AHEAD

This essay is William Grassie's valedictory remarks at the Metanexus Institute's 2007 Annual Conference. Grassie asks what is wrong with religion, what is wrong with science, and why the constructive engagement of the two holds the key to setting things right. He cites Sir John Templeton and others to make his case and proposes a new curriculum for general science education that uses the history of nature as a mnemonic and context for promoting better science literacy and the incorporation of science into our cultural traditions.     

UNIQUENESS IN CONTEXT

Wentzel van Huyssteen's Gifford Lectures, published as Alone in the World? Human Uniqueness in Science and Theology, accomplish critical and constructive thinking about interdisciplinary reflection on science and religion and about the meaning of human uniqueness. One approach to discussion of van Huyssteen's text entails consideration of three issues: the contextual character of research on humans and animals, the difficult problem of defining uniqueness, and the important consequences of exploring human uniqueness. Evolutionary biology and primatology contribute specific scientific insights.     

MUSLIM PERSPECTIVES ON STEM CELL RESEARCH AND CLONING

In Islam, the acquisition of knowledge is a form of worship. But human achievement must be exercised in conformity with God's will. Warnings against feelings of superiority often are coupled with the command to remain within the confines of God's laws and limits. Because of the fear of arrogance and disregard of the balance created by God, any new knowledge or discovery must be applied with careful consideration to maintaining balance in the creation. Knowledge must be applied to ascertain equity and justice for all of humanity. Research in Islam must be linked to the broad ethical base set forth in the Qur'an and the Sunnah. Whether embryonic stem cell research or cloning is ethically acceptable in Islam depends on the benefits derived from such applications. What is most important for the scholars is to adhere to the concepts of compassion, mercy, and benefit to everyone.     

Developing elementary science skills: Instructional effectiveness and path independence

We explore the immediate and longer term consequences of different types of instruction about a central topic in middle school science: the “Control of Variables Strategy” (CVS). CVS represents the procedural and conceptual basis for designing simple, unconfounded experiments, such that unambiguous causal inferences can be made. CVS appears to be what has been called a “developmentally-secondary” process, because even though infants and pre-schoolers can make simple causal inferences from data, middle school children do poorly at CVS unless they receive instruction on this important topic in the science curriculum. In this study, 72 third, fourth, and fifth-grade students were taught CVS via two instructional methods located at extreme points on the direct-to-discovery spectrum with respect to the amount of guidance, information, support, teacher control, and feedback provided during training. Our design included near- and far-transfer measures (at 1 week, 3 months and 3 years). There were two primary outcomes, both of which replicated and partially extended earlier work by Klahr and Nigam (2004) [Klahr, D., & Nigam, M. (2004). The equivalence of learning paths in early science instruction: Effects of direct instruction and discovery learning. Psychological Science, 15, 661–667] First, at each of the three grade levels, many more children learned CVS in the explicit condition than in the exploration condition. Second, but equally important, what students learned was a better predictor of far transfer than the way that they learned.     

Personal values and relational models

In this study, the comprehensive value research by Schwartz (e.g. 1992) was linked to Fiske's relational models theory (RMT, e.g. Fiske, 1991). A sample of 297 people answered the personal values questionnaire (PVQ), the modes of relationship questionnaire (MORQ) and the relationship profile scale (RPS) in a web‐based online survey. As hypothesized, the set of 10 values correlated in a systematic manner—according to the circular structure of personal value systems—with both trait‐like construal of and motivational investment in the relational models communal sharing (CS), authority ranking (AR) and market pricing (MP). Further research concerning a person–environment value congruency approach to predict well‐being is suggested combining the two research traditions. Copyright © 2008 John Wiley & Sons, Ltd.     

The public's probabilistic numeracy: How tasks,education and exposure to games of chance shape it

As we navigate a world full of uncertainties and risks, dominated by statistics, we need to be able to think statistically. Very few studies investigating people's ability to understand simple concepts and rules from probability theory have drawn representative samples from the public. For this reason we investigated a representative sample of 1000 Swiss citizens, using six probabilistic problems. Most reasoned appropriately in problems representing pure applications of probability theory, but failed to do so in approximations of real‐world scenarios – a disparity we replicated in a sample of first‐year psychology students. Additionally, education is associated with probabilistic numeracy in the former but not the latter type of problems. We discuss possible reasons for these task disparities and suggest that gaining a comprehensive picture of citizens' probabilistic competence and its determinants requires using both types of tasks. Copyright © 2008 John Wiley & Sons, Ltd.     

Genetics Education for Health Professionals: Strategies and Outcomes from a National Initiative in the United Kingdom

The National Health Service (NHS) National Genetics Education and Development Centre was established by the Department of Health in 2004 to help drive and co-ordinate genetics education for health professionals working outside specialist genetic services. This paper reviews the experiences and lessons learned to date. At the outset, it was clear that understanding the learning ethos, preferred delivery methods and attitudes towards genetics of different NHS healthcare groups was vital. We collected evidence by undertaking needs assessments with educators, practitioners and patients. We have determined the genetics knowledge, skills and attitudes which they said were needed and translated these into learning outcomes and workforce competences in a continuum of education. Beginning with core concepts introduced (and examined) pre-registration, the continuum continues with development of concepts post-registration as appropriate for role, leading to practical application and assessment of competences in the workplace. These are supported by a portfolio of resources which draw heavily on patient based scenarios to demonstrate to staff that genetics is relevant to their work, and to convince educators and policy makers that genetic education is likely to result in real clinical benefit. A long term educational policy, inclusive of learners, educationalists and their institutions must be evidence based, flexible and responsive to changes in workforce structure, provision of clinical services and conceptual and financial commitments to education. The engagement of national policy, regulatory and professional bodies is vital ().     

Lessons Learned from the Intensive Mental Health Program: A School-based,Community Oriented Program for Children with Serious Emotional Disturbances

The Intensive Mental Health Program meets the needs for services in school systems for children with serious emotional disturbances and for training graduate students in clinical applications with a difficult-to-serve population. We address the range of challenges and rewards experienced in the development of the comprehensive intervention program, the continued maintenance of program elements, and the program evaluation.