急性心肌梗死复杂冠脉病变延迟支架植入治疗策略

目前我国临床实践中,急性心肌梗死的急诊介入治疗几乎均以一次性植入支架为手术终点。然而急性心肌梗死患者常伴有复杂冠脉病变,此类患者一次性植入支架常出现“慢血流”或“无复流”现象,导致心肌微循环灌注障碍,直接影响患者的预后。本文从临床策略的角度出发,探讨此类患者急诊冠脉介入治疗中延迟植入支架治疗的策略及可行性。     

企业组织变革特征、人力资源策略与变革应对行为的实验研究：组织学习的视角

在快速发展的全球化和知识经济背景下,各类组织急需通过变革创新来适应动态环境和开拓发展。本研究使用基于多案例的实验学习技术,研究与检验了公司组织变革的关键特征和人力资源策略与变革策略,特别关注了组织学习的关键作用。基于110项组织变革案例情节的内容分析,本研究验证了变革的四项主要特征：风险创新性、动态整合性、网络互动性和文化多样性。组织变革过程的有效人力资源策略包括培训发展、招聘配置和绩效薪酬。统计分析结果表明,组织绩效受到多重因素影响和组织学习的中介效应,而组织学习各个维度中,实验尝试学习的效应最显著。组织学习促进了两种变革策略的效能期望,即文化学习策略和团队协同策略。     

Choosing what I want or keeping what I should: The effect of decision strategy on choice consistency

We examine decision-makers’ consistency vis-à-vis their own priorities in a multi-choice task, using either an inclusion or exclusion strategy to reduce a set of alternatives. Four studies demonstrate that people’s decisions are more consistent with their priorities when using an exclusion vs. an inclusion strategy to screen alternatives. Moreover, this effect was stronger for less knowledgeable than for more knowledgeable decision-makers. We examined two possible mechanisms behind this phenomenon. First, we suggest that the process of thinking about the positive aspects of the alternatives (associated with inclusion) encourages the decision-maker to more favorably evaluate options initially given low marks, resulting in less consistency with preferences. We also show that under exclusion, people tend to select the alternatives that they think they should choose, while under inclusion they tend to choose options that are more in line with what they would like to have but which may be perceived as luxuries.     

What factors influence prospective memory for elderly people in a naturalistic setting?1

Previous studies comparing prospective memory between the elderly and young adults have shown that elderly adults perform better in naturalistic settings, while young adults perform better in laboratory settings. The purpose of this study was to examine what factors influence prospective memory in naturalistic settings, and we specifically focused on age, the complexity of the prospective memory task, self‐evaluation and knowledge of memory function, retrospective memory, external memory aids, and internal memory strategies as potential influential factors. Eighty‐six healthy, elderly participants were enrolled (44 women and 42 men, mean age = 68.56 years, SD = 4.53). The results showed that the use of external memory aids increased in complex prospective memory tasks that depended on output monitoring, while other factors did not influence prospective memory performance. These results suggest that elderly adults can perform tasks adequately by using external memory aids that compensate for age‐related memory declines in naturalistic settings.     

一种多策略认知诊断方法:MSCD方法的开发

当前国内外开发的认知诊断模型基本上只能处理单策略的测验情景,并假设所有被试均采用同一种加工策略/解题策略,从而忽视了加工策略的多样性及差异性.本研究根据de la Torre和Douglas (2008)采用多个Q矩阵来表征多个加工策略的思想,并结合使用丁树良等(2009)修正的Q矩阵理论及孙佳楠,张淑梅、辛涛和包珏(2011)的广义距离判别法,开发了一种新的多策略认知诊断方法——MSCD方法.Monte Carlo模拟研究结果表明:在单策略测验情景下,传统的单策略认知诊断方法与采用MSCD方法的诊断正确率均比较理想,且差异不大;但在多策略测验情景时,传统的单策略认知诊断方法诊断正确率较低,而MSCD方法的诊断正确率却仍较理想;当加工策略增至5种时,MSCD方法仍有较高的边际判准率、模式判准率以及加工策略判准率.研究表明MSCD方法基本合理、可行.这为实现对加工策略的诊断提供了方法学支持,有利于拓展认知诊断在实际中的应用.     

Modesty in self‐presentation: A comparison between the USA and Japan

Japanese participants in Study 1 exhibited a self‐effacing tendency when no reason for their self‐evaluation was provided. However, they exhibited a self‐enhancing tendency when they were offered a monetary reward for the correct evaluation. In Study 2, Americans, especially American men, exhibited a self‐enhancing tendency whereas Japanese exhibited a self‐effacing tendency when no reason for making the evaluation was presented. This cultural difference disappeared when participants were provided with a monetary reward for correctly evaluating their performance level. These results support the view that the modesty observed in self‐evaluation among Japanese participants is a ‘default strategy’ to avoid offending others.     

失败恐惧对大学生失败学习的影响：一个有调节的中介模型

基于保护动机理论,将经历失败事件的596名大学生作为研究对象,探讨失败恐惧对大学生失败学习的影响机制,分析保护性努力的中介效应与应对导向的调节效应。研究发现：（1）失败恐惧显著正向预测大学生失败学习;（2）保护性努力在失败恐惧与大学生失败学习间起部分中介效应;（3）应对导向在失败恐惧与保护性努力的关系中起调节效应,应对导向越高的大学生,其失败恐惧对保护性努力的正向影响越大。     

Exercise as a coping strategy and its impact on the psychological well-being of Japanese community-dwelling older adults during the COVID-19 pandemic: A longitudinal study

This study aimed to examine the prevalence of exercise as a coping strategy among Japanese community-dwelling older adults and its impact on their psychological well-being during the COVID-19 pandemic. In October 2019 (baseline [BL]), 720 community-dwelling older adults living in an urban area in Japan participated in a comprehensive health survey. Of these, 618 responded to a mail survey (follow-up [FL]) in June 2020, after the first state of emergency was lifted. Their psychological well-being was assessed using the WHO-5 Well-Being Index (WHO-5). Exercise as a coping strategy during the stay-at-home period was determined at FL by asking respondents whether they had engaged in 1) walking and 2) at-home exercise and strength training to maintain their physical and mental health. Each type of exercise’s impact and the effective exercise combinations were examined. Time and group interaction effects on the WHO-5 scores were investigated using a two-way analysis of covariance. Of the final sample, 65.1% engaged in walking. The WHO-5 mean scores at BL and FL were 16.7 and 15.4 for the walking group and 16.7 and 14.5 for the non-walking group, respectively; interaction for time and group was significant. Additionally, 56.4% of the participants engaged home training. The WHO-5 mean score at BL and FL were 17.5 and 15.5 for the home training group and 15.7 and 14.5 for the no home training group, respectively; there was no significant interaction. Older adults who engaged in both walking and home training received higher score on the WHO-5 than those who engaged in only one activity at FL. The decline in psychological well-being was most attenuated in the walking only group compared to the at-home exercise and strength training groups. Exercise as a coping strategy during the stay-at-home period was associated with psychological well-being, with different impacts observed depending on the type of activity.     

Human Navigational Strategy for Intercepting an Erratically Moving Target in Chase and Escape Interactions

Abstract

Pursuit and interception of moving targets are fundamental skills of many animal species. Although previous studies in human interception behaviors have proposed several navigational strategies for intercepting a moving target, it is still unknown which navigational strategy humans use in chase-and-escape interactions. In the present experimental study, by using two one-on-one tasks as seen in ball sports, we showed that human interception behaviors were statistically consistent with a time-optimal model. Our results provide the insight about the navigational strategy for intercepting a moving target in chase-and-escape interactions, which may be common across species.     

Metacognitive processes in the self-regulation of performance in elite endurance runners

ObjectiveThis study sought to investigate the dynamics of attentional focus and cognitive control during endurance activity from a metacognitive perspective. The study also intended to examine the situational factors which may influence cognitive strategy use by elite endurance runners.DesignSemi-structured qualitative interviews were utilised.MethodTen elite-level endurance runners were interviewed to explore retrospectively their attentional focus and cognitive strategy use during endurance running.ResultsThe findings revealed that metacognitive strategies such as planning, monitoring, reviewing and evaluating, and metacognitive experiences were fundamental to cognitive control and cognitive strategy use in elite endurance runners. The findings also added to the array of active self-regulatory strategies previously reported in the literature.ConclusionsThese results suggest that metacognitive processes are central to effective cognitive control in elite endurance athletes during running. The findings allowed for the development of an integrative metacognitive framework, which incorporates dimensions of attentional focus. This model may better represent the processes which underpin cognitive control and determine cognitive strategy use in elite athletes during endurance running.