Decision-making in rectal and colorectal cancer: systematic review and qualitative analysis of surgeons’ preferences

Surgeons are experiencing difficulties implementing recommendations not only owing to incomplete, confusing or conflicting information but also to the increasing involvement of patients in decisions relating to their health. This study sought to establish which common factors including heuristic factors guide surgeons’ decision-making in colon and rectal cancers. We conducted a systematic literature review of surgeons’ decision-making factors related to colon and rectal cancer treatment. Eleven of 349 identified publications were eligible for data analyses. Using the IRaMuTeQ (Interface of R for the Multidimensional Analyses of Texts and Questionnaire), we carried out a qualitative analysis of the significant factors collected in the studies reviewed. Several validation procedures were applied to control the robustness of the findings. Five categories of factors (i.e. patient, surgeon, treatment, tumor and organizational cues) were found to influence surgeons’ decision-making. Specifically, all decision criteria including biomedical (e.g. tumor information) and heuristic (e.g. surgeons’ dispositional factors) criteria converged towards the factor ‘age of patient’ in the similarity analysis. In the light of the results, we propose an explanatory model showing the impact of heuristic criteria on medical issues (i.e. diagnosis, prognosis, treatment features, etc.) and thus on decision-making. Finally, the psychosocial complexity involved in decision-making is discussed and a medico-psycho-social grid for use in multidisciplinary meetings is proposed.     

任务价值研究的回顾与展望

文章阐述了以往研究者对任务价值及内部结构的界定,回顾了任务价值研究的历史,介绍了任务价值研究的现状,讨论了目前任务价值研究中存在的问题和未来的发展趋势。     

Scientific Peer Review: A Case Study From Local And Global Analyses.

The dialog between Staddon (2001, 2004) and Baum (2004) raises general questions about the nature of scientific peer review. Their dialog displays effects on peer review of differences of opinion about the relative merits of local and global analyses. Baum (1995, 1997, 2001, 2002) favors global analyses as a paradigm different, newer, and better than the local, dynamic, real‐time approach that plays a significant role in Staddon (2001). According to the Kuhnian perspective (Kuhn, 1996) Baum advocates, we can better understand his review of Staddon (2001) by considering the implications for it of his commitment to the idea that a global analysis is a superior scientific paradigm. This commentary examines some characteristics of local and global analyses, as well as some of their possible implications for peer review in the context of a reviewer's belief in the Kuhnian idea of incommensurability: According to this idea, a reviewer who either is, or who believes he is, from one paradigm is unlikely, for better or worse, to understand or perhaps even tolerate work from a different paradigm. It is recommended that a process be developed to encourage “truth in peer reviewing” to reduce possible conflicts of interest embedded in the current conception of scientific peer review.     

国内医务人员职业倦怠研究评述

通过文献分析法,介绍了职业倦怠概念以及国内医务人员职业倦怠常用测量工具,从人口学变量、人格、工作特征和社会支持四个方面阐述了当前医务人员职业倦怠的影响因素,最后在简要分析现有研究存在本土化程度较低及缺乏应用性研究等不足的基础上,展望了医务人员职业倦怠本土化及干预两方面研究的发展前景。     

社会心理学角度分析群体性事件综述

群体性事件作为我国社会转型时期的一个突出问题,近年来受到广泛关注。本文对近十年来从社会心理学角度研究群体性事件的相关文献进行梳理整合,总结归纳出三个重要方面,并对相关研究的不足之处提出了疑问和建议,以期对当前类似事件的应对有所借鉴及对后继研究有所启示。     

Adolescent coping scales: a critical psychometric review

Individual coping is identified as an important factor in relation to health and well-being. Although several coping scales have been developed, key terms of coping such as nature and a number of primary and secondary factors (dimensions) are obscure. Coping scales, such as those that have been developed through exploratory factor analysis (EFA), have been criticized for poor psychometric properties, yet the critique so far does not evaluate development of the scales against best test-theoretical practice. The present study reviews six adolescent coping scales against ten detailed psychometric criteria in relation to statistical choices throughout the process of scale development. All six scales measured poorly on several criteria. Best practice had not been followed throughout their development and they suffered serious psychometric limitations. These findings indicate that there still is empirical research to be pursued in search of latent constructs and possible dimensions of coping through the implementation of EFA.     

结核患者服药依从性的研究现状

结核病控制是全球卫生工作的一个重点,服药依从性则是其中关键的一环。本文对结核患者服药依从性的重要性、影响因素及提高依从性的措施进行综述,认为实施直接督导短程化疗（DOTS）、强化督导、改善患者对服药依从性的认识、简化给药方案、减轻患者经济负担、设置患者提醒物等可提高服药依从性。     

Counselling in primary care: a systematic review of the evidence

Primary objective: To undertake a systematic review which aimed to locate, appraise and synthesise evidence to obtain a reliable overview of the clinical effectiveness, cost‐effectiveness and user perspectives regarding counselling in primary care. Main results: Evidence from 26 studies was presented as a narrative synthesis and demonstrated that counselling is effective in the short term, is as effective as CBT with typical heterogeneous primary care populations and more effective than routine primary care for the treatment of non‐specific generic psychological problems, anxiety and depression. Counselling may reduce levels of referrals to psychiatric services, but does not appear to reduce medication, the number of GP consultations or overall costs. Patients are highly satisfied with the counselling they have received in primary care and prefer counselling to medication for depression. Conclusions and implications for future research: This review demonstrates the value of counselling as a valid choice for primary care patients and as a broadly effective therapeutic intervention for a wide range of generic psychological conditions presenting in the primary care setting. More rigorous clinical and cost‐effectiveness trials are needed together with surveys of more typical users of primary care services.     

Creativity Research Overlooks the Study of Resilience among Young Children: A Bibliometric Network Review

Creativity researchers are increasingly interested in understanding when, how, and for whom creativity can be beneficial. Previous reviews have demonstrated that creativity research largely ignores the study of its impact on factors that promote health, and well-being among populations of adults. It is unclear, in fact, whether this gap in research also extends to creativity research among young children. This paper addresses this issue. Early childhood is a crucial stage for the cognitive development of young children who remain highly sensitive to stress, and adversity. It is therefore essential to identify and promote factors that are beneficial to early childhood resilience, thereby contributing to documenting more of the effects of creative activities on positive outcomes. This paper presents a review with a bibliometric analysis of 1000 randomly selected articles from the Web of Science, without bias towards any specific peer-reviewed journal. The analysis of 454 included articles shows that approximately 80% of the included studies focus on creativity as an outcome (replicating previous findings with a larger sample), with only 3.78% investigating creative activities as predictors among young children. In this small percentage, most of the studies addressed creative activities in young children related to resilience outcomes.