基层医院实施《诊疗与防控手足口病指南》的困境

探讨实施卫生部所颁发的手足口病诊疗与防控指南存在的难点.通过实践,依据指南,笔者将近几年工作中所遇到处理各种肠道病毒感染病例存在的问题加以分析,列出实施指南存在诸多临床及非临床的影响因素,包括：（1）上报、隔离引起的矛盾;（2）诊断、治疗、转诊引起的矛盾;（3）处理肠道病毒71型（EV71）感染、疱疹性咽峡炎等与手足口病的矛盾.较多的矛盾令基层医院依照目前的指南难以良好地开展工作,期待更完善的指南以及各地医疗主管部门制定切合实际的、可行的、各种具体的防控预案.     

肢体自然重建理念——一种人文关怀治疗

著名的医学家、哲学家Hippocrates在公元前4世纪就指出:医生的责任仅在于促进疾病的自然康复过程,而非阻拦这个过程.患者得以治愈的根据是患者自身存在的康复能力;医生首先必须清楚:自己所治疗的对象是人,是有生命的、有思想的、活在社会上的人,而不是被修理的物件.医生能够做到的只是为患者创造或提供一定的有利于康复的条件.20世纪50年代,前苏联骨科专家Ilizarov发现了张力-应力法则,并因此创造出的牵拉再生、自然重建技术,正是很好地诠释了Hippocrates的思想.     

Political Islam and Non-Muslim Religions: A Lesson from Lessing for the Arab Transition

Hardly any region has recently captured the global geopolitical imagination as much as the Arab world after the so-called Arab Spring and very likely no state more so than Egypt. Finally it seemed that democracy was coming to the region, that this would spell the end of radical Islam, and of any local aspirations of creating Islamic states, and mark the beginning of a rapprochement between East and West. This article analyses and links those dynamics, with particular reference to the transition process in the wake of the so-called Arab Revolution, and gauges what may be at stake for members of non-Muslim faiths. It particularly traces the rift between theoretical Muslim discourse about Islamic tolerance towards other faiths and its implementation or the absence thereof in practice. It concludes that so far no real progress has been made and that, for the relationship to evolve, Islam needs to proceed to a state in which it sees itself as no more than an equal to other religions. The recognition of its tradition-based nature and of the consequences that flow from such a realization for the treatment of its fundamental sources, the Qur'an and the Sunna, will be addressed. To evaluate the current situation and the outlook, we shall use the example of the famous eighteenth-century German play by Gotthold Ephraim Lessing, Nathan the Wise, about the occupation of Jerusalem by Saladin.     

迎接心理学发展的第三波

心理学自冯特始便存在两种类型,自然科学的心理学和人文的心理学.本土心理学依据“一种心智,多种心态”的原则,建构了儒家关系主义理论和自我曼陀罗模型,这种含摄文化的理论解决了冯特以科学方法研究文化的难题.批判实在论和多重哲学典范的结合,奠定了华人本土心理学科学哲学基础,在此基础上,华人本土心理学将迎来心理学发展的第三波.     

心理学的想象力与行动力

本文由心理学与内卷化问题切入讨论,提出心理学应该具备想象力与行动力.想象力的培养可以借助人类学、历史学、哲学等学科的视野.行动力则需要树立相应的观念,面向社区、生活与人民群众.知行合一或许是可能的选择.     

Body image concern among Australian adolescent girls: The role of body comparisons with models and peers

This study investigated the potential mediating roles of body comparisons with peers and models in the relationship between the internalization of thinness norms and body image concern. A total of 224 Western Australian girls aged 14–15 completed questionnaires assessing their endorsement of thinness norms, body image concerns, and frequency of body comparisons with peers and with models. Both targets of body comparisons were found to significantly mediate the relationship between the endorsement of thinness norms and body image concern, with body comparison with peers a stronger mediator than comparison with models. These findings show that body comparison with peers, in particular, plays a significant role in the experience of body image concerns among adolescent girls, and should be given a higher profile in programs designed to prevent or reduce body image concern.     

Multiple-choice testing as a desirable difficulty in the classroom

We examined whether the power of tests as learning events, frequently demonstrated in the laboratory, would also occur in a large undergraduate course. Our goals were to determine: if learning of information tested on multiple-choice quizzes administered across the course would be enhanced compared to non-tested control information; and what the effects of quizzing would be for the learning of information conceptually related to the tested information but not itself tested on the quizzes. Given that retrieval practice can have positive (testing effect) and negative consequences (retrieval-induced forgetting), our concern was that the learning and later retention of non-tested conceptually related information might be impaired by the multiple-choice quizzes. Importantly, learning benefits were found for both types of information on the final exam, indicating that quizzing within a course can enhance not only the learning of specifically tested information, but the learning of non-tested conceptually related information as well.     

Anti-Semitism and Islamophobia in the Netherlands: concepts,developments, and backdrops

In recent years, the Netherlands has been frequently confronted with public incidents of anti-Semitism and Islamophobia. After defining the complex concepts of anti-Semitism and Islamophobia, presenting the theoretical approach to these phenomena, and sketching the societal context in which they are embedded, this article describes the development of the numbers of reported expressions of anti-Semitism and Islamophobia in the Netherlands since the turn of the century. It notes that the general level of annual numbers of recorded incidents of the phenomena has increased since 2000 and, at the same time, there are significant fluctuations in the numbers of notified incidents per year. These fluctuations correlate to outbursts of violence in the Middle East and to acts of violence committed in the name of Islam in the West, while the general higher level of incidents of anti-Semitism and Islamophobia relates to numerous and various threats experienced in the context of the Dutch multi-ethnic society, changes in national identity, and trends in globalisation.     

Effects of Share the Keys (STK), a comprehensive,behavioral-based training program for parents and new teen drivers in New Jersey

The New Jersey Graduated Driver License (GDL) restrictions were updated in 2010 with changes that included a more active role of parents monitoring practice driving with their teens. In addition to extending the driving phases, there were new curfew and passenger limit restrictions. Teen drivers were also required to use red decals on license plates to identify themselves as inexperienced drivers. The Division of Highway Traffic Safety had partnered with the Motor Vehicle Commission in the past to produce practice driving guides for parents of teen drivers, but recognized the need to support this type of informational campaign with an educational program for helping parents to understand changes in the GDL and recognize the importance of their role in the GDL monitoring process. In 2010, the New Jersey Parent/Teen Driver Orientation program was developed to educate parents of teen drivers on the new GDL restrictions and Children’s Hospital of Philadelphia (CHOP) findings concerning the importance of parenting roles in teen driver safety. Additional resources were incorporated into the orientation that included the Centers for Disease Control (CDC) community based information and the University of Michigan Transportation Research Institute (UMTRI) parent-teen driver contracts.This community-based training, known as the New Jersey Parent/Teen Driver Orientation was later renamed Share the Keys, and had been developed for the state as a component of the New Jersey Highway Safety grant received by Kean University. The comprehensive program was designed to engage parents, teens, educators, and law enforcement in the teen driving process and help parents to understand how personal parenting styles and engagement may impact teen crash risk and compliance with the GDL restrictions. Local representatives from traffic safety and law enforcement teamed with school officials and driver education teachers to present programs in their communities. The evaluation process was built into the program as a pre-survey administered at the beginning of the session, a post-survey completed directly afterward, and a voluntary follow-up survey completed on line or mailed, beginning six months later.Evidence from the first year showed that parents maintained a significant level of engagement throughout the GDL process with their teen drivers. However, findings did establish the need to further examine why Authoritative parenting styles had declined, especially since this parenting approach was considered in the literature as most effective in reducing teen crash risks. Therefore, the scope of this study was broadened to a three year effort that reached over 2800 parents and investigated behavioral outcomes impacted by Share the Keys. While comparisons made between driving phases and parenting styles had yielded no significant results, changes within parenting style scores were shown to be effective over time. The reported levels of Permissive and Uninvolved parents remained consistent throughout all three driving phases, while Authoritarian parenting peaked during the Probationary phase, and Authoritative parenting was noted as highest once teens earned their license.     

Enactive or inactive? Cranially envatted dream experience and the extended conscious mind

When we dream, it is often assumed, we are isolated from the external environment. It is also commonly believed that dreams can be, at times, accurate, convincing replicas of waking experience. Here I analyse some of the implications of this view for an enactive theory of conscious experience. If dreams are, as described by the received view, “inactive”, or “cranially envatted” whilst replicating the experience of being awake, this would be problematic for certain extended conscious mind theories. Focusing specifically on Alva Noë’s enactive view, according to which the vehicles of perceptual experience extend beyond the brain, I argue that dreams are a quandary. Noë’s view is that dreaming is consistent with enactivism because even if dreams are inactive and shut off from the external environment, they are not “full-blown” perceptual consciousness, and also, there is some reason to reject the inactive claim. However, this view rests on an unjustified and reductive account of dreams which is not supported by empirical evidence. Dreams can indeed replicate waking phenomenal experience during inactive periods of sleep, and we have no reason to suspect that dreams which are more inactive are less “full-blown”. Taken together, this shows that dreams are indeed relevant to extended conscious mind theories and need to be taken into account by enactivists.