浅析农村卫生保健改革的若干难点与起点

农村医疗单靠政府行政预算拨付进行运作管理,只能起到临时输血的功能.卫生健康水平的提高,一方面取决于经济收入水平的增长,另一方面则取决于政府公共财政支持力度和行政管理的有效性.资金是基础,制度是保证,政府需通过工具性的制度创新,减少国家对农民的制度排挤,充分发挥政府调控和监管作用,改善农村医疗面临的财政、技术、人员严重不足的问题.     

论网络环境下医学文献信息资源的共建共享

分析网络环境下实现医学文献信息资源共享必须具备的条件以及实现医学文献信息资源共享必须解决的问题,并提出相应的解决办法.     

Exploring Diurnal Cortisol Rhythms of Kindergarten Teachers in Kosovo and Ukraine

Teachers’ stress is a dynamic combination of the individual teacher's characteristics and characteristics of the classroom and school environment. To date, there are limited studies on teachers’ stress in the context of lower‐middle‐income countries (LMICs), where working conditions as well as general political and economic circumstances might pose a considerable threat for teachers’ well‐being. This study explores whether certain combinations of individual and environmental experiences of teachers in LMICs may result in stress, assessed as patterns of diurnal cortisol rhythm. Participants were kindergarten teachers in Kosovo and Ukraine, two LMICs in Europe. Latent Profile Analysis identified three subgroups of teachers that significantly differed on teachers’ education and experience. Preliminary results of Latent Growth Modeling suggested differences between profiles in baseline waking cortisol and patterns of diurnal decline. Teachers in the profile that was characterized by the longest experience working in the field but the lowest level of education showed blunted cortisol in the morning and a flatter slope; a pattern that could indicate a maladaptive cortisol response. Future directions for studying stress processes among teachers in LMICs and implications for policy and practice on how to support teacher well‐being in low‐resource contexts are discussed.     

Negative work reflection,personal resources,and work engagement: the moderating role of perceived organizational support

This day-level study examined the role of perceived organizational support (POS) in the context of employees’ negative work reflection during off-job time. We hypothesized that negative work reflection during off-job time should be indirectly related to reduced work engagement on the next workday through personal resources (i.e., vigour and self-efficacy) in the morning. In addition, we hypothesized that POS moderated the relationships between negative work reflection and personal resources and between personal resources and work engagement. In total, 100 employees completed one general survey and three daily surveys (in the morning, after work, and at bedtime) over five workdays. Results of multilevel path analyses showed that negative work reflection was neither directly associated with personal resources nor indirectly with work engagement via personal resources, although vigour and self-efficacy positively predicted increased work engagement. However, negative work reflection was negatively associated with self-efficacy when POS was low. POS did not predict work engagement, but moderated the relationships between personal resources and work engagement: Consistent with the resource substitution hypothesis, high levels of POS compensated for low levels of vigour and self-efficacy. Negative work reflection had a significant negative indirect effect on work engagement through self-efficacy only when POS was low.     

组织认同一定会促进亲组织非伦理行为吗？社会责任型人力资源管理的作用

基于社会认同理论,以社会责任型人力资源管理作为组织道德性的线索,探讨其对组织认同与亲组织非伦理行为之间关系的调节作用及其对亲组织非伦理行为的直接影响。采用多层线性建模技术进行数据分析,结果表明：当社会责任型人力资源管理水平低时,组织认同正向影响亲组织非伦理行为;当社会责任型人力资源管理水平高时,组织认同对亲组织非伦理行为没有显著影响;社会责任型人力资源管理对亲组织非伦理行为具有抑制作用。     

Age, memory load, and individual differences in working memory as determinants of class-inclusion reasoning.

We studied the effects of individual differences in speak-span scores and variations in memory demands on the class-inclusion performance of 10-, 13-, and 15-year-old children. The speak-span task was an age-appropriate modification of Daneman and Carpenter's (1980) reading-span task and was considered to be a measure of global resources. The age variable was assumed to be a global index of skill development, and some of the specific skills hypothesized to be important in class-inclusion reasoning were estimated using a mathematical model. The results from both regression analyses and the mathematical model indicated that differences in age, speak span, and memory load all affected performance. Surprisingly, the effects of speak span and memory load were independent. However, the effects of each of these variables depended on the age level of the participants. Based on these findings, we argued that (a) resources vary continuously with age, (b) both skill level and global resources should be varied in developmental studies of problem solving, and (c) resource theories (e.g., Norman & Shallice, 1986) should be modified to account for developmental change.     

Christianity,settler colonialism,and resource extraction

This article explores the relationship between Christianity, extractivism, and Amer-European settler colonialism. It argues that Amer-European Christianity is an extractivist religion, with beliefs and practices that are deeply intertwined with an extractivist relationship to the natural world and Indigenous peoples. In conversation with the work of Willie Jennings and exploring the impact of the doctrine of Christian discovery, the extractivist theology of John Locke, and the supersessionist use of divine election and covenant, this article exemplifies how Amer-European Christianity has shaped and been shaped by settler colonial extractivism. It raises the question whether and how Amer-European settler Christians may decolonize their extractivist relationship to Indigenous peoples and the natural world by learning from Indigenous peoples in dialogue with the work of the Osage theologian “Tink” Tinker.     

Effect of brief mindfulness and relaxation inductions on anxiety,affect and brain activation in athletes

The mindfulness-based intervention and psychological skills training are often used for maintaining the mental health or reducing undesirable mental states in athletes. However, their differences in acute effects on mental health and underlying neural mechanism are not well understood. Therefore, the purpose of the current study was to examine the differential effects of brief mindfulness induction (MI) and relaxation induction (RI) on state anxiety, affect and brain activation. Thirty-five track and field athletes were recruited for this study. Using a within-subjects crossover design, participants underwent three conditions that incorporated two 30-min experimental conditions (i.e., MI or RI) and a control condition. State anxiety and affect were assessed before and after intervention, and brain activation (i.e., theta, alpha bands) were recorded by electroencephalography (EEG) during each 30-min condition. Repeated measures analysis of variance revealed that MI and RI similarly reduced state anxiety and negative affect from pre-test to post-test compared to the control condition. In terms of positive affect, there were no significant differences among the three conditions across times. Furthermore, participants exhibited higher frontal theta power during the MI and RI than control condition, whereas no differences in alpha power were observed among conditions. The current study provides initial evidence from an electrophysiological perspective that brief MI and RI both improve the negative psychological states in individual sport athletes through similar neural mechanisms. Nevertheless, the moderating effects of training experiences and long-term interventions on mental state and EEG activity in athletes need further investigation in future studies.     

Black Jack: Do company benefits and feelings have an impact on my happiness?

The aim of this study was to determine whether casino employees’ benefits and their feelings about the company influence their experienced happiness. A total of 1 502 casino employees were surveyed (females = 57%; males = 43%). They completed a company benefits, feelings and happiness questionnaire within the work context. Data were analysed to predict what company benefits and whether feelings about the company impact on the casino employees’ happiness; and also to test the mediation effects of company benefits on their happiness experienced through feelings about the company. In addition, structural relations between happiness and feelings about the company, and happiness and company benefits were tested. Findings from the regression analyses and structural equation modelling suggest that feelings about the company and company benefits such as staff meals and pension funds do predict personal happiness and positive feelings about the company where they are employed. Moreover, feelings about the company mediated the effect of stay-in facilities, staff meals and a bonus on happiness. Positive feelings about their company seem to explain employee happiness, particularly with the availability of company benefits such as stay-in facilities, staff meals and a bonus scheme.     

Difference as a Resource for Thinking: An Online Dialogue Showing the Role Played by Difference in Problem Solving and Decision Making

Contemporary societies require citizens and workers to face unexpected challenges. This calls for a shift of emphasis from individualistic competence to the importance of collective intelligence. This article describes a plan for a project in which students who are eight to twelve years old will not only realize that difference is a crucial resource in problem solving and decision making but also live out their personal value as thinking, active beings. They will participate in an online dialogue that takes place among children who attend schools in under‐resourced communities and in middle‐class and upper‐class communities. The students will work on learning units based on philosophical content designed to stimulate their critical ability. The philosophical scenarios will be related to the everyday lives of the children through concrete examples. These examples will be followed by questions that aim to promote the advancement of the students’ thinking skills.