英国医疗保障制度的改革经验及对中国的启示

英国是福利型社会保障制度的国家,它的医疗保障制度有力地保障了国民的生命健康,而且在医疗消费方面体现了相对公平的原则,同时存在一些不足的地方。英国医疗保障制度有很多值得中国借鉴的地方,对中国卫生体制改革具有重要的启示作用。     

系统生物学——中西医结合的平台

通过比较系统生物学与中医理论在整体观、系统观、预测性和预防性医疗以及个体化治疗等方面的相似之处,并分析中医和西医各自的优点和不足,提出中医和现代医学在系统生物学的基础上进行整合的必然性和可能性,系统生物学是中西医结合的平台。     

新型农村合作医疗制度评估——以江苏省海安县为例

阐述了新型农村合作医疗的基本制度规定,包括资金来源、办理程序、就诊规定、补偿办法、组织机构以及基金监督,并在制度的框架内对新型农村合作医疗进行了评析,通过对152名农民的问卷调查,了解农民对新型农村合作医疗的基本评价,对农民参与新型农村合作医疗的吸引和排斥因素进行分析。     

要重视慢性乙型肝炎的抗病毒治疗

慢性乙型肝炎是我国常见的慢性传染病之一,严重危害人民健康.围绕着乙型肝炎的防治,带来巨大的经济负担,已成为不可忽视的社会问题.在慢性乙型肝炎-肝硬化-HCC的发生发展过程中,HBV病毒载量起着重要的作用,抗病毒治疗是目前治疗慢性乙型肝炎的有效手段.因此,要重视和规范抗病毒治疗.     

中部崛起背景下的城市社区卫生服务主要影响因素研究

通过武汉市中心城区社区卫生服务的实证调研,多因素分析和建模,寻求影响中部地区城市社区卫生服务的主导因素,在此基础上提出若干可行的政策建议,旨在为管理决策、促进社区卫生服务及构筑新型城市卫生服务体系等提供信息支持服务。     

A test of the quasi-circumplex structure of human values

Schwartz’s value system (SVS) has been widely used in different disciplines (e.g., psychology, management, and marketing). Although the value structure seems to be validated when data are analyzed through multidimensional scaling, we show that the quasi-circumplex structure of human values is not supported when confirmatory analysis approaches (e.g., CIRCUM and constrained confirmatory factor analysis) are used. Based on two samples of French and Swiss respondents, confirmatory tests of SVS provide little support for its quasi-circumplex structure, mainly due to problems of construct and discriminant validity resulting from multicollinearity between value types.     

Speech-associated gestures, Broca’s area, and the human mirror system

Speech-associated gestures are hand and arm movements that not only convey semantic information to listeners but are themselves actions. Broca’s area has been assumed to play an important role both in semantic retrieval or selection (as part of a language comprehension system) and in action recognition (as part of a “mirror” or “observation–execution matching” system). We asked whether the role that Broca’s area plays in processing speech-associated gestures is consistent with the semantic retrieval/selection account (predicting relatively weak interactions between Broca’s area and other cortical areas because the meaningful information that speech-associated gestures convey reduces semantic ambiguity and thus reduces the need for semantic retrieval/selection) or the action recognition account (predicting strong interactions between Broca’s area and other cortical areas because speech-associated gestures are goal-direct actions that are “mirrored”). We compared the functional connectivity of Broca’s area with other cortical areas when participants listened to stories while watching meaningful speech-associated gestures, speech-irrelevant self-grooming hand movements, or no hand movements. A network analysis of neuroimaging data showed that interactions involving Broca’s area and other cortical areas were weakest when spoken language was accompanied by meaningful speech-associated gestures, and strongest when spoken language was accompanied by self-grooming hand movements or by no hand movements at all. Results are discussed with respect to the role that the human mirror system plays in processing speech-associated movements.     

不同心理刺激诱发的交感和副交感神经活动的比较

让24名女大学生被试完成划消测验、镜画测验、心算和准备演讲四种应激任务,目的在于探讨在不同心理刺激下交感和副交感神经系统的活动是否存在差异。记录HRV（Heart Rate Variability,心率变异性）的频域成分TP（Total Power,总功率）、HF（High Frequency,高频）、LF（Low Frequency,低频）、LF/HF（低频高频比）、平均R-R间期和血压等指标在基线和不同应激任务期间的变化。通过单因素重复测量方差分析和多重比较发现,准备演讲期间的TP、LF值显著地高于基线和其它三项任务, HF的值显著地高于划消测验和心算;镜画测验、划消测验和心算期间的LF值与基线比较显著下降,TP、LF和HF三项指标在这三项任务之间无显著差异;不同任务期间在LF/HF上无显著主效应。平均R-R间期基线水平与所有任务间的比较及各任务之间有显著差异。收缩压基线水平与划消、镜画任务间的比较有显著差异。结果表明,准备演讲期间的交感神经和副交感神经张力显著地大于其它任务,不同任务表现出的不同的自主神经张力变化说明交感神经与副交感神经活动不是一方活动增强、另一方活动减弱的单纯的活动方式,这一结果为Berntson提出的自主神经活动可能存在九种活动搭配模式的理论提供了实验证据     

建立县级领导干部绩效结构和考核指标体系的思考

县级领导干部的绩效考核一直是党和国家关注的焦点,而实践中县级领导干部的绩效考核多年来一直是个难点问题。该文通过回顾国内外绩效考核的相关理论和文献,对应该如何建立科学有效的县级领导干部绩效结构及考核指标体系进行了探讨,并进一步提出了其研究的创新和意义所在。     

汉魏易学的绍承、超越与开新——孔颖达新型易学理论体系的建构

唐初著名易学家、经学家孔颖达在易学领域的突出贡献,彰显为在易学及哲学史上产生了广泛而深远影响的易学理论体系的建构。这一新型的体大思精的易学理论体系之得以构筑,乃根植于孔颖达在唐初学术及政治视野下,对汉魏传统易学殚精竭虑之检视、透析与省察基础上的绍承、超越与开新。