冠心病调脂治疗过程中的哲学思考

他汀广泛用于冠心病的一级预防和二级预防,普遍源于循证医学的证据。首先,他汀治疗冠心病是从疾病的本质出发,采取有效方法稳定斑块、缓解缺血。调脂治疗中,以降低低密度脂蛋白胆固醇为主要目标,体现了抓主要矛盾和矛盾的主要方面的思路。调脂强调联合治疗,个体化治疗,同时一分为二看待药物的作用,适时减量或停药。     

肺结核痰涂片阴性的试验性治疗应用探讨

本文通过对涂阴肺结核及试验性治疗相关概念的分析探讨,结合临床实际,认为试验性治疗不仅有利于涂阴肺结核的早期诊断和及时治疗,也是减少误诊、漏诊的主要措施。     

妇产科临床决策中的辩证思维

妇产科临床实践中处处可以体现辩证唯物主义哲学原理的作用,以辩证的思维去认识妇产科疾病,树立整体观念、认清病情发展的主要矛盾、建立个体化治疗的概念、认识疾病的本质、建立疾病预防的观念、密切关注病情的发展变化,有利于正确的,临床决策。     

2010年我国急性ST段抬高型心肌梗死诊断与治疗指南解读评析

近年来我国急性心肌梗死的发病率一直呈明显上升趋势,已接近国际平均水平。对于STEMI版早期诊断并及时开通梗死相关动脉、增加心肌再灌注、防止心肌进一步坏死,可显著降低心血管事件的发生。本文从STEMI的诊断、早期医疗、再灌注治疗、辅助治疗及二级预防等几个方面对2010年我国急性ST段抬高型心肌梗死的诊断与治疗指南进行了详细解读分析。     

What you cannot see can help you: the effect of exposure to unreportable stimuli on approach behavior

We examined effects of exposure to unreportable images of spiders on approach towards a tarantula. Pretests revealed awareness of the stimuli was at chance. Participants high or low (top and bottom 15%) on fear of spiders were randomly assigned to receive computer-generated exposure to unreportable pictures of spiders or outdoor scenes. They then engaged in a Behavioral Approach Task (BAT) with a live tarantula. Non-fearful participants completed more BAT items than spider-fearful individuals. Additionally, as predicted, a significant interaction (F(1,48)=5.12, p<.03) between fear of spiders and stimulus demonstrated that spider-fearful participants exposed to spiders completed more BAT items than spider-fearful participants exposed to control stimuli (but not as many as non-fearful participants). The findings support the hypothesis that exposure to unreportable feared stimuli promotes approach towards the feared object. Future research and clinical implications were discussed.     

变革型领导研究综述

变革型领导作为近二十多年来领导力研究的热点,在领导力的研究中占有重要的地位。本文对变革型领导的的概念和变革型领导的结构及测量进行了介绍,并对变革型领导有效性和作用机制进行评述,最后对变革型领导研究提出了展望。     

Integrating information from two pictorial animations: Complexity and cognitive prerequisites influence performance

Dividing visual attention between spatially distinct sources of information could either be beneficial (if there is too much information for a single visualization) or detrimental (if interrelated information has to be mentally re‐integrated) for learning. We present a new display technology allowing for the presentation of two distinct animations by avoiding split foci of visual attention: learners are able to switch between animations by moving their head. We examined how 84 naïve learners integrated information in three presentation modes: the ‘vexing‐image’ mode displaying two animations, participants being able to switch between them without shifting the visual focus, a classical ‘split‐screen’ and an ‘overlaid’ condition. Results showed that reduced complexity led to higher performance. Further, we showed that participants with high mental rotation abilities were best in the ‘split‐screen’ mode, whereas participants with low mental rotation abilities benefited most from the ‘vexing‐image’. Theoretical and instructional consequences of these findings are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Evidence-based mental health interventions for traumatized youth: a statewide dissemination project

Psychological trauma in childhood has been shown to increase a variety of psychological disturbances and psychiatric disorders. Although evidence-based treatments for children who have been traumatized exist, they are infrequently used by clinicians treating children. The present paper describes the creation of the Treatment Collaborative for Traumatized Youth (TCTY) which is a statewide partnership in North Dakota designed to disseminate efficacious treatments for traumatized children and monitor outcomes across a broad, rural, geographic expanse. The paper reviews the dissemination strategy developed by the TCTY, reports outcomes regarding both clinicians and child participants, and highlights problems identified in the project and solutions that were generated.     

处于生存极限的低出生体重儿该如何决策救治

我国极低及超低出生体重儿的出生比例已接近发达国家。但因为经济、文化、技术及社会保障制度等原因,相当多的患儿得不到合理救治。这与发达国家相比有很大差距。让医护人员做到合理评估和告知,适时放弃治疗,完善社会保障制度,加强社会舆论监督和教育,加快相关制度、法规的建立等措施有望改变这一现状。     

ANIMALS AS KIN: THE RELIGIOUS SIGNIFICANCE OF MARC BEKOFF'S WORK

Abstract. Although the disciplines of religion and science often may seem to be at cross purposes with each other, some individuals are attempting to bridge the gap, particularly with regard to animals. Cognitive ethologist Marc Bekoff, who studies animals in their natural habitat, has addressed in his work the implications of the findings of animal study for religion and ethics. I provide here an overview of some of his most important ideas for the study of religion and animals. Bekoff argues that the differences between humans and animals are primarily ones of degree rather than kind and that our similarities are greater than our differences‐and that this reality should influence our actions. I explore three issues in particular. First, Bekoff's work, with his view of evolution, challenges the traditional Christian hierarchy of beings. Second, this evolutionary connection needs to move us in the direction of modifying our treatment of animals to make it more ethical. Third, our understanding of and relationship with animals can deepen our own spirituality. Applying some of Bekoff's findings to our religious and ethical understandings of and treatment of animals can move us closer to the peaceable kingdom toward which we all strive.