医院重点专科发展过程阶段论

讨论医院重点专科发展过程的阶段划分及特征,对于我们在重点专科建设中正确地把握方向、恰当地评估成效和有力地予以推进都有十分重大和现实的意义。本文把医院重点专科发展过程分为科室建设、学科建设、科学建设阶段,并从功能目标、效率效益、人才队伍、场地设施、技术设备、技术特色、教学培训、科学研究、文化氛围、能级水平十个方面对各阶段的特征进行归纳描述。三个阶段各具不同内涵特征,又存在相互内在关联,具有方向性、连续性、可加速性、交叉性和包涵性等规律。     

HIV infection in the South African construction industry

South Africa has one of the highest HIV prevalences in the world, and compared with other sectors of the national economy, the construction industry is disproportionately adversely affected. Using data collected nationally from more than 57,000 construction workers, HIV infection among South African construction workers was estimated, together with an assessment of the association between worker HIV serostatus and worker characteristics of gender, age, nature of employment, occupation, and HIV testing history. The HIV infection of construction workers was estimated to be lower than that found in a smaller 2008 sample. All worker characteristics are significantly associated with HIV serostatus. In terms of most at-risk categories: females are more at risk of HIV infection than males; workers in the 30–49 year old age group are more at risk than other age groups; workers employed on a less permanent basis are more at risk; as are workers not having recently tested for HIV. Among occupations in the construction industry, general workers, artisans, and operator/drivers are those most at risk. Besides yielding more up-to-date estimated infection statistics, this research also identifies vulnerable sub-groups as valuable pointers for more targeted workplace interventions by construction firms.     

Bernstein’s levels of movement construction: A contemporary perspective

Explanation of how goal-directed movements are made manifest is the ultimate aim of the field classically referred to as “motor control”. Essential to the sought-after explanation is comprehension of the supporting functional architecture. Seven decades ago, the Russian physiologist and movement scientist Nikolai A. Bernstein proposed a hierarchical model to explain the construction of movements. In his model, the levels of the hierarchy share a common language (i.e., they are commensurate) and perform complementing functions to bring about dexterous movements. The science of the control and coordination of movement in the phylum Craniata has made considerable progress in the intervening seven decades. The contemporary body of knowledge about each of Bernstein’s hypothesized functional levels is both more detailed and more sophisticated. A natural consequence of this progress, however, is the relatively independent theoretical development of a given level from the other levels. In this essay, we revisit each level of Bernstein’s hierarchy from the joint perspectives of (a) the ecological approach to perception-action and (b) dynamical systems theory. We review a substantial and relevant body of literature produced in different areas of study that are accommodated by this ecological-dynamical version of Bernstein’s levels. Implications for the control and coordination of movement and the challenges to producing a unified theory are discussed.     

The Perceived Leadership Communication Questionnaire (PLCQ): Development and Validation

The Perceived Leadership Communication Questionnaire (PLCQ) is a short, reliable, and valid instrument for measuring leadership communication from both perspectives of the leader and the follower. Drawing on a communication-based approach to leadership and following a theoretical framework of interpersonal communication processes in organizations, this article describes the development and validation of a one-dimensional 6-item scale in four studies (total N = 604). Results from Study 1 and 2 provide evidence for the internal consistency and factorial validity of the PLCQ's self-rating version (PLCQ-SR)—a version for measuring how leaders perceive their own communication with their followers. Results from Study 3 and 4 show internal consistency, construct validity, and criterion validity of the PLCQ's other-rating version (PLCQ-OR)—a version for measuring how followers perceive the communication of their leaders. Cronbach's α had an average of.80 over the four studies. All confirmatory factor analyses yielded good to excellent model fit indices. Convergent validity was established by average positive correlations of.69 with subdimensions of transformational leadership and leader–member exchange scales. Furthermore, nonsignificant correlations with socially desirable responding indicated discriminant validity. Last, criterion validity was supported by a moderately positive correlation with job satisfaction (r =.31).     

《管子》生态伦理思想及其当代启示

《管子》生态伦理思想具有丰富而深刻的内涵,“天人相分”与“天人合一”的天人观,“道为物要”与“德润万物”的伦理观,“人君天地”与“人与天调”的实践观。其深刻的精神理念对我们今天的生态文明建设具有重要的借鉴意义。这些启示我们应从强化生态意识、加强生态制度建设、实施行为生态化建设、坚持生态化修养建设等方面加强生态文明建设。     

‘Categories We Share’: Mobilising Common In‐groups in Discourse on Contemporary Immigration in Greece

Prejudice reduction has been an important concern within social psychology both in theory and applied research. According to the premises of Social Identity Theory, redrawing of the category boundaries is often considered a necessary step in order to battle prejudice, because in‐group favouritism when the category boundaries change is diffused to the previously distinct identities. The present paper offers a review of the relevant research, and following a discourse analytic perspective argues that recategorisation can also be viewed as a rhetorical resource that people use in verbal interaction in order to achieve certain rhetorical ends. This point is exemplified using interview data from Greece with Greek participants who mobilise common in‐groups between themselves and the immigrants in Greece. Different common in‐groups were mobilised on the basis of common human nature, common ethnic descent and through the use of the common experience of migration that many Greek people have because Greece has been an emigrant sending country for the biggest part of the 20th century. Occasionally, these category constructions were used to differentiate between immigrants of different ethnic descent claiming that only certain immigrant groups can integrate to Greek society, whereas on other instances, these common in‐groups were used in order to inoculate speakers of accusations of prejudice. Copyright © 2012 John Wiley & Sons, Ltd.     

Mental Health and Adverse Childhood Experiences

The theoretical basis of occupational therapy interventions was investigated in two mental health facilities in the Midwestern United States. Using retrospective cohort and grounded theory designs, 121 medical records were reviewed and five occupational therapy practitioners were interviewed. Theoretical reasoning was not explicitly documented, but according to analysis, the behavioral/cognitive-behavioral model, client-centered models, and the model of human occupation were the most frequently used theories to guide interventions. Lack of documentation of theory use has significant implications for the value accorded to occupational therapy skills in health care. A larger study is recommended to increase external generalizability of the findings.     

Emotion,core affect,and psychological construction

As an alternative to using the concepts of emotion, fear, anger, and the like as scientific tools, this article advocates an approach based on the concepts of core affect and psychological construction, expanding the domain of inquiry beyond “emotion”. Core affect is a neurophysiological state that underlies simply feeling good or bad, drowsy or energised. Psychological construction is not one process but an umbrella term for the various processes that produce: (a) a particular emotional episode's “components” (such as facial movement, vocal tone, peripheral nervous system change, appraisal, attribution, behaviour, subjective experience, and emotion regulation); (b) associations among the components; and (c) the categorisation of the pattern of components as a specific emotion.     

Socio-cultural selection and the sculpting of the human genome: Cultures’ directional forces on evolution and development

This paper argues for culture as a significant determinant of the modern human genome. As progress in the fields of genetics and evolutionary biology have gained greater insights into evolutionary process, aspects of classical proposals explaining how phenotypic responses to environmental experience could make their way into the genotype have returned in new guises. Recent proposals recognize environmental context as a key source of genetic variation by directly altering selection pressures to mask and unmask adaptive value of expressed traits, by reorganizing the combination and expression of genes during ontogeny to provide novel variants for selection, and by influencing developmental trajectories through epigenetic systems acutely sensitive to ontogenetic contexts. The emergence of a robust human socio-cultural niche, shielding humans from more proximate evolutionary pressures that marked our ancestral evolution, has arguably provided the strongest directive force on modern human evolution. Language is discussed as an exemplar of a cultural niche with a powerful self-organizing dynamic and the potential to dramatically alter the human genome.