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981.
982.
吴智群 《医学与哲学(人文社会医学版)》2005,26(8):45-46
分析总结了我国现代生命科学研究中存在的一些问题,如重复性研究,文献复习不够,文章中数据较少,一稿多投等,并分析了出现这些问题的原因:科研经费严重不足,没有足够的科研时间,缺乏科学的科研机制,急功近利,缺乏公正严格的评价标准和体系等.就这些问题提出来一些应对策略,如改革科研体制,集中统筹安排科研经费,完善科研管理制度,加强创新思维的培养等等. 相似文献
983.
哮喘防控模式的几点思考 总被引:5,自引:0,他引:5
何权瀛 《医学与哲学(人文社会医学版)》2005,(14)
简单介绍了在支气管哮喘患者教育和管理工作中的若干体会。结果表明,我们所采取的哮喘教育管理体系(包括哮喘患者门诊、哮喘患者协会和哮喘宣教中心)是一种先进的医疗服务模式,不仅可以有效地改善医患关系,还可以显著提高哮喘患者对哮喘认知水平和防治疾病的依从性,提高哮喘控制水平、生命质量,减少非预约门诊、急诊、住院次数,降低医疗费用。 相似文献
984.
积极组织学术研究是管理学中的一项新运动,由密歇根大学商学院倡导建立的积极组织学术研究小组发起。主张发展积极的人类优势,复苏、振兴和激发组织活力,使组织兴旺发达,使其员工迈向成功。研究者将研究重点集中于在组织环境中培养积极的要素,并在研究中构建严谨、系统的理论基础,以期实现组织、员工及研究者的共同发展。 相似文献
985.
986.
Predictors of changes in child behaviour following parent management training: Child,context, and therapy factors 下载免费PDF全文
This non‐randomised study examined a set of predictive factors of changes in child behaviour following parent management training (PMTO). Families of 331 Norwegian girls (26%) and boys with clinic‐level conduct problems participated. The children ranged in age from 3 to 12 years (Mage = 8.69). Retention rate was 72.2% at post‐assessment. Child‐, parent‐ and therapy‐level variables were entered as predictors of multi‐informant reported change in externalising behaviour and social skills. Behavioural improvements following PMTO amounted to 1 standard deviation on parent rated and ½ standard deviation on teacher rated externalising behaviour, while social skills improvements were more modest. Results suggested that children with higher symptom scores and lower social skills score at pre‐treatment were more likely to show improvements in these areas. According to both parent‐ and teacher‐ratings, girls tended to show greater improvements in externalising behaviour and social skills following treatment and, according to parents, ADHD symptomology appeared to inhibit improvements in social skills. Finally, observed increases in parental skill encouragement, therapists' satisfaction with treatment and the number of hours spent in therapy by children were also positive and significant predictors of child outcomes. 相似文献
987.
Internet‐based self‐tailored deposit contracts to promote smoking reduction and abstinence 下载免费PDF全文
Deposit contracting may reduce costs and increase efficacy in contingency management interventions. We evaluated two Internet‐based deposit contract arrangements for smoking. In Experiment 1, nine participants deposited self‐selected amounts that could be earned back for meeting goals. During treatment, participants were reimbursed for breath samples with less than or equal to 6 parts per million carbon monoxide and met the criterion for 47% of samples compared to 1% during baseline. In Experiment 2, 10 participants’ deposits were matched up to $50. No samples met the criterion during baseline but 41.5% met it during treatment. The average deposit was $82 in Experiment 1 and $49 in Experiment 2. Participants rated the intervention favorably and sample submission rates were high. These experiments suggest that Internet‐based self‐tailored deposits are acceptable, feasible, and can promote brief reduction and abstinence in some smokers. Future research should investigate individual and intervention factors that affect long‐term cessation and uptake of deposit contracts. 相似文献
988.
Mortality salience effects on reckless driving intentions in a motorcyclist sample: The moderating role of group riding 下载免费PDF全文
Campaigns against reckless driving often mention the risk of dying. Research on terror management theory indicates that death claims may backfire and foster reckless driving. Here, we studied such mortality salience effects in a motorcyclist sample. Two moderating variables, particularly interesting regarding the sample of motorcyclists, were considered: group riding (vs. riding alone) and driving‐related self‐esteem. Motorcyclists were exposed to a campaign, either highlighting mortality or not. Orthogonally, cyclists were primed with riding in a group (vs. riding alone). Driving‐related self‐esteem was assessed via a questionnaire. We predicted that reminders of riding in a group would buffer against ironic mortality effects. Supporting this hypothesis, mortality salience effects interacted with the group prime. The results indicate that death appeals are likely to backfire with cyclists riding alone rather than cyclists riding in a group, especially if motorcycling is relevant to the self. 相似文献
989.
《Journal of Multi-Criteria Decision Analysis》2017,24(5-6):204-226
In recent years, a series of important emergencies have been taken place worldwide in industrial plants. After the occurrence of a disaster, it is essential to activate the correct emergency procedures. Particularly, it is important to direct people injured in hospitals which are able to handle emergencies. Thus, nowadays, the emergency services require a management process starting from the disaster moment to the involvement of all actors participating in the process to provide integral, safe, and quality attention. The aim of this study is to help hospitals become better prepared for major disasters and public health emergencies and to evaluate the readiness of emergency departments for a disaster situation. A hybrid model called the “analytic decision‐making preference model” based on analytic hierarchy process, decision‐making trial and evaluation laboratory, and technique for order of preference by similarity to ideal solution methods is proposed. Analytic hierarchy process is used to determine the criteria and subcriteria weights. Then, decision‐making trial and evaluation laboratory is used to evaluate interdependence between criteria and subcriteria. After this, technique for order of preference by similarity to ideal solution is applied to rank the emergency departments from highest to lowest according to their closeness coefficient. A real‐life application in Colombia is presented. 相似文献
990.
With 21,000 people annually killed in road traffic (estimated figure by World Health Organization), Bangladesh has one of the highest fatality rates in the world. Vulnerable road users (VRUs) account for over 50% of road traffic casualties, and 70% of casualties occur in rural areas. As in many Low and Middle Income Countries (LMICs), the official road accident statistics are incomplete and biased.Safe Crossings (Netherlands) and the Centre for Injury Prevention and Research Bangladesh (CIPRB) (Bangladesh) received permission from the Bangladesh government in 2014 to design and implement an integrated speed management program (consisting of a combination of small-scale infrastructural measures, active community involvement and road user education) at three locations where a national highway intersects small communities. The infrastructural countermeasures to improve road safety consisted of speed humps, rumble strips, signs and road markings and were designed following the Dutch road design guidelines. In a Before–After study design, we used a combination of three research methods to monitor and evaluate the road safety interventions. We created our own traffic accident recording system with trained local record keepers, we conducted laser-gun speed measurements of motorized traffic (both at intervention and control locations), and we applied the Dutch Objective Conflict Technique for Operation and Research (DOCTOR) for observing serious traffic conflicts at the intervention locations. The latter was based upon DOCTOR scores from video recordings of the behaviour at the three experimental locations Before and After the interventions.Prior to installing the intervention program, the three locations combined had, on average, about 100 serious accidents, 10 deaths, and 200 injured people on a yearly basis. In April 2015, all infrastructural measures were completed. In the after period (till the end of January 2016), the alternative accident recording system showed a 66% reduction in the number of serious accidents, a 73% reduction in the number of injured people, and a 67% reduction in the number of people killed.The unobtrusive laser-gun speed measurements resulted in a net reduction of 13.3 km/h (or 20% in relative terms) on average at the intervention locations by taking the general speed development at the control locations into account. According to Nilsson’s power law this would result in a 59% reduction of the number of people killed, well in line with the actual accident figures.The total number of serious conflicts (only DOCTOR scores 3, 4, and 5) was significantly reduced from 64 serious conflicts per location in a 4.5 h period Before to 29 serious conflicts in the After period, on average (Poisson distributed variable, p < 0.01), or a 55% reduction in relative terms. By including the traffic volumes, the reduction in conflict risk overall is 54%. Moreover, the severity of conflicts was reduced in the After period with only one most severe conflict (DOCTOR score 5) left. Buses represent the largest portion of road users involved in serious conflicts at all three locations, followed by cars and CNGs (Compressed Natural Gas vehicle). By far, the most frequently occurring conflict is of the type head-on conflict between an overtaking bus or car that is encountering a road user in opposite direction (for the greater part a CNG).All three evaluation measures point to a similar impact of the intervention program and unveil an improvement in road safety between 54% and 60%. The speed-reducing measures indeed considerably reduce the speed of motorized traffic, both the mean speed and 85th percentile values, both the number and severity of serious conflicts are reduced, and the actual number of accidents has decreased. It appears that Nilsson’s power law for the relation between a difference in mean speed and the change in the number of accidents also applies to LMICs.Speed management measures as common in high-income countries appear to be also effective in LMICs. For evaluation purposes of road safety impacts, a Traffic Conflicts Technique approach (also developed in high-income countries) seems valid and effective as well for application in LMICs.As there are thousands of traffic black spots with similar characteristics as the three intervention locations in Bangladesh, this integrated approach may well offer similar road safety improvements elsewhere. 相似文献