连续性肾脏替代治疗临床应用的拓展与思考

连续性肾脏替代治疗（continuous renal replacement therapy, CRRT）是近30年来在透析技术基础上蓬勃发展起来的一种新的血液净化技术。CRRT最早应用于重症急性肾衰竭（acute renal failure,ARF）的治疗,随着人类对CRRT认识的不断深化和技术的不断发展,CRRT的...     

3～5岁幼儿在主题-规则冲突条件下的类比推理

本研究采用经典类比任务,考察了3～5岁幼儿在主题-规则冲突条件下类比推理发展的水平与特点.结果表明:(1)在无主题联想条件下,幼儿的单维类比推理在3～4岁迅速发展,4～5岁发展较为平缓,而双维类比推理在3～5岁仍处于较低水平.(2)在主题—规则冲突条件下,幼儿在单维类比推理中表现出一定的主题联想优势反应;幼儿在双维类比推理中表现出较强的主题联想优势反应,年龄特点为:3岁幼儿有较强的主题联想优势反应,4岁幼儿的主题联想优势反应明显下降,而5岁幼儿又表现出较强的主题联想优势反应.     

亲子沟通的三层次模型:理论、工具及在小学生中的应用

目前的亲子沟通研究存在测量工具缺乏理论依据、测量层次和内容混乱等问题.本研究在系统论思想的指导下提出亲子沟通的三层次模型,从元素、关系和系统三个层面考察亲子沟通状况,并以此模型为基础编制了相应测量工具.经过文献梳理、理论建构、工具编制等环节,逐步完善了模型和相应测量工具.以371名小学五、六年级儿童为被试,检验了亲子沟通量表的可靠性和有效性,并考察亲子沟通基本状况.结果表明,(1)亲子沟通量表的信、效度指标达到了心理测量学要求,能够用于相关实证研究中;(2)被试家庭中,父母的沟通能力优于儿童,母子沟通质量优于父子沟通,母亲的沟通地位比父亲高;(3)父母的倾听能力能有效预测亲子沟通质量,提高父子沟通质量是让父子和母子两种沟通更协调的主要途径.     

Constrained maximum likelihood estimation of two-level covariance structure model via EM type algorithms

In this paper, the constrained maximum likelihood estimation of a two-level covariance structure model with unbalanced designs is considered. The two-level model is reformulated as a single-level model by treating the group level latent random vectors as hypothetical missing-data. Then, the popular EM algorithm is extended to obtain the constrained maximum likelihood estimates. For general nonlinear constraints, the multiplier method is used at theM-step to find the constrained minimum of the conditional expectation. An accelerated EM gradient procedure is derived to handle linear constraints. The empirical performance of the proposed EM type algorithms is illustrated by some artifical and real examples.This research was supported by a Hong Kong UCG Earmarked Grant, CUHK 4026/97H. We are greatly indebted to D.E. Morisky and J.A. Stein for the use of their AIDS data in our example. We also thank the Editor, two anonymous reviewers, W.Y. Poon and H.T. Zhu for constructive suggestions and comments in improving the paper. The assistance of Michael K.H. Leung and Esther L.S. Tam is gratefully acknowledged.     

Covariance structure analysis in several populations

This paper is concerned with the study of covariance structural models in several populations. Estimation theory of the parameters that are subject to general functional restraints is developed based on the generalized least squares approach. Asymptotic properties of the constrained estimator are studied; and asymptotic chi-square tests are presented to evaluate appropriate model comparisons. The method of multipliers and the standard reparametrization technique are discussed in obtaining the estimates. The methodology is demonstrated by a set of real data.Computer facilities were provided by the Computer Services Center, The Chinese University of Hong Kong. The authors are indebted to several anonymous reviewers for suggestions for improvement of this paper.     

“人体器官移植工作体系”框架的初步构想及其伦理使命

借鉴国内外相关成功经验,结合我国实际情况,对“人体器官移植工作体系”的构成以及各系统职能进行初步探讨。研究了该体系在阻止人体器官商业化、提高人体移植器官分配的公平高效性等方面发挥的作用。     

国内外医疗保障制度的比较研究

作为社会保障体制中医疗保障制度的重要组成部分,对促进社会稳定和体现制度公平性起着至关重要的作用。在不同的国家,由于国情不同、人权状况不同,以及、历史和文化理念的差异,形成了各有特色的医疗保障制度。对具有代表性的四种医疗保障制度进行简述和比较,并就我国医疗保障制度存在的问题与改革提出了见解。     

The effects of a public address system on the off-task behavior of elementary physical education students

The purpose of this study was to determine the effects of teacher feedback delivered via a public address system on the off-task behavior of elementary-school physical education students. A multiple baseline design across three classes was used in this investigation. Results indicated a consistent decline in off-task behavior when the public address feedback system was used.     

Effects of stop signal modality, stop signal intensity and tracking method on inhibitory performance as determined by use of the stop signal paradigm

In Experiment 1, the effects of stop signal modality on the speed and efficiency of the inhibition process were examined. Stop signal reaction time (SSRT) and inhibition function slope in an auditory stop signal condition were compared to SSRT and inhibition function slope in a visual stop signal condition. It was found that auditory stop signals compared to visual stop signals enhanced both the speed and efficiency of stopping. The modality effects were attributed to differences in the neurophysiological processes underlying perception. However, Experiment 2 demonstrated that the modality difference was larger for 80 dB(A) auditory stop signals than 60 dB(A) auditory stop signals. This effect was reconciled with the suggestion that loud tones are more capable of eliciting immediate arousing effects on motor processes than weak tones and visual stimuli. The second purpose of the present investigation was to explore the utility (and potential advantages) of an alternative way of setting stop signal delay relative to mean reaction time (MRT). The method that was suggested compensates for inter-individual differences in primary task reaction speed by setting stop signal delays as proportions of the subjects' MRT.     

Affektive Interaktion zwischen Patienten und Therapeuten

Zusammenfassung Eine positive therapeutische Beziehung wird therapieschulenübergreifend als wichtige Voraussetzung für den Therapieerfolg angesehen. Meist wird jedoch in Studien lediglich die schriftliche Patienteneinschätzung erfasst. Nonverbale Aspekte der Interaktion zwischen Patienten und Therapeuten werden kaum untersucht. Aus einer Studie zur Vorhersage des Erfolgs stationärer Fokaltherapie werden affektive Interaktionsprozesse im Erstinterview exemplarisch zwischen einer erfolgreichen und einer nicht erfolgreichen Behandlung mit mikroanalytischen Verfahren (facial action coding system, FACS) verglichen. In der nicht erfolgreichen Therapie waren die mimischen Affektäußerungen reziprok; Therapeutin und Patientin zeigten ähnliche vorherrschende (sog. Leit-)Affekte. Erfolgreicher waren die Behandlungen, wenn die Therapeuten komplementäre Affektmuster zeigten. Implikationen für Behandlungstechnik, Supervision und Weiterbildung werden diskutiert.