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91.
医生与药业的关系:利益冲突重要根源   总被引:4,自引:1,他引:3  
药业与医生的关系在最近40年日益受到医学界与社会的重视。药业以并不昂贵的馈赠及其他手段,资助学术交流、医学教育和医学研究,深刻地影响着临床医生的行为和诊治决策,从而危及医学的科学性和医学职业精神,加重了病人的负担,且祸及病人健康。药业与医生的这种关系,是道德与金钱关系的赤裸表现,是资本对医学的无情侵略。从道德、法律、行业管理等诸多方面正确规范行业与医生的相互关系,避免当前面临的种种弊端,维护医学的科学性,保护病人与社会公众的利益,刻不容缓。  相似文献   
92.
Policies and position statements regarding decision-making for extremely premature babies exist in many countries and are often directive, focusing on parental choice and expected outcomes. These recommendations often state survival and handicap as reasons for optional intervention. The fact that such outcome statistics would not justify such approaches in other populations suggests that some other powerful factors are at work. The value of neonatal intensive care has been scrutinized far more than intensive care for older patients and suggests that neonatal care is held to a higher standard of justification. The relative value placed on the life of newborns, in particular the preterm, is less than expected by any objective medical data or any prevailing moral frameworks about the value of individual lives. Why do we feel less obligated to treat the premature baby? Do we put newborns in a special and lesser moral category? We explore this question from a legal and ethical perspective and offer several hypotheses pertaining to personhood, reproductive choices, “precious children,” and probable evolutionary and anthropological factors.  相似文献   
93.
This article proposes the Thurstonian paired comparison model to assess vocational preferences and uses this approach to evaluate the Realistic, Investigative, Artistic, Social, Enterprise, and Conventional (RIASEC) model in the Basque Country (Spain). First, one unrestricted model is estimated in the Structural Equation Modelling framework using one paired comparison design. Secondly, the RIASEC circumplex structure is evaluated upon the estimated latent preferences correlation matrix. The results show good fit between the Thurstonian model and the data, but do not confirm the RIASEC structure in the Basque population.  相似文献   
94.
An understanding of the differences in the ways in which self-efficacy and interest influence boys’ and girls’ intentions to continue enrollment in mathematics courses may provide insight into how to encourage continued mathematics enrollment for all students. Two competing theoretical models of mathematics self-efficacy and interest in predicting students’ enrollment intentions and achievement were evaluated separately across samples of middle level boys and girls. One model was empirically supported for both groups and indicated the independent influence of self-efficacy and interest in predicting enrollment intentions. Multi-group analyses revealed that self-efficacy’s influence in enrollment intentions and achievement was significantly stronger for boys than for girls, and interest was significantly more important in the prediction of enrollment intentions for girls than for boys.  相似文献   
95.
As the profession of counseling continues to grow and expand, counselors’ careers are diversifying across specialty areas and practice settings often led by women. However, information regarding how these women accomplished this career expansion is lacking. The authors used a qualitative case study to identify 8 themes that influenced and empowered female counselors to develop careers that successfully extended into specialty areas: (a) managing family and career choices, (b) the importance of mentors, (c) overcoming career obstacles, (d) parental support with expectations, (e) integrating experiences with passions, (f) overcoming personal life challenges, (g) a sense of uniqueness, and (h) resourcefulness.  相似文献   
96.
Substance abuse relapse has been linked to a number of internal and external vulnerability factors. The authors explored the internal construct of Adlerian social interest (Adler, 1956 ) and the external construct of Hirschi's ( 1969 ) social bonding to provide a holistic risk profile of relapse.  相似文献   
97.
采用学生阅读能力测试卷和学生阅读状况调查问卷,对随机选取的559名中学生进行调查,并运用结构方程模型探讨了家庭环境影响阅读能力的内在机制。结果发现,家庭环境影响阅读投入的路径系数为0.18,阅读投入影响阅读兴趣的路径系数为0.51,阅读兴趣影响阅读投入的路径系数为0.80,阅读投入影响阅读能力的路径系数为0.46,各路径系数均达到显著水平(p0.05)。结果表明,(1)家庭环境通过阅读投入的完全中介作用影响阅读兴趣;阅读兴趣通过阅读投入的完全中介作用影响阅读成绩;(2)家庭环境对阅读能力的影响是通过阅读投入和阅读兴趣的循环互动作用实现的。  相似文献   
98.
This study investigated the moderating role of self-esteem on young emerging adults’ in their school-to-work transition phase of graduateness skills and career adaptability. A non-probability convenience sample (n=332) of undergraduate black (98.5%) and female (62%) young emerging adults (18–29 years) at a Further Education and Training (FET) college in South Africa participated in the study. Participants completed the Culture Free Self-esteem Inventory for Adults (CFSEI 2-AD, Battle, 1992 Battle, J. (1992). Culture-free self-esteem inventories for children and adults. Texas: Pro-Ed. [Google Scholar]), the Graduateness Skills and Attributes Scale (GSAS, Coetzee, 2010 Coetzee, M. (2010). Exploratory Factor Analyses of the Graduateness Scale and the Employability Attributes Scale. Pretoria: Unpublished research report. University of South Africa. [Google Scholar]) and the Career Adapt-abilities Scale (CAAS, Savickas &; Porfeli, 2012 Savickas, M. L., &; Porfeli, E. J. (2012). Career Adapt-Abilities Scale: Construction, reliability and measurement equivalence across 13 countries. Journal of Vocational Behavior, 80(3), 674679. doi: 10.1016/j.jvb.2012.01.011[Crossref], [Web of Science ®] [Google Scholar]). Hierarchical moderated regression analysis indicated significant interaction effects between self-esteem and overall graduateness, lifelong learning and global/moral citizenship skills and attributes in moderating overall career adaptability. The relationship between the participants’ graduateness skills and attributes (overall graduateness, global/moral citizenship, and lifelong learning) and their career adaptability was significantly stronger when their self-esteem was high than when their self-esteem was low. The finding suggests self-esteem to influence self-perceived graduateness skills and career adaptability in emerging adults.  相似文献   
99.
Orin W. Cummings 《Dialog》2018,57(2):107-110
Luther's doctrine of vocation is about faithfully living the baptismal life. This article argues that for the Christian a theology of work—vocation—is not to be constricted to the spiritual sphere only. The Christian is called from the temporal sphere, but not out of it. As such, the Christian embraces the spiritual and temporal spheres in response to God's grace and for the good of the neighbor.  相似文献   
100.
Skilled performance in sport often relies on looking at the right place at the right time. Differences in visual behaviour can thus characterise expertise. The current study examined visual attention associated with surfing expertise. Expert (n = 12) and novice (n = 12) surfers viewed 360-degree surfing videos in a head-mounted display. Eye-gaze, presence, and engagement were measured. Experts were faster to detect approaching high, and low waves, spent more time overall attending to high-performance value areas-of-interest (AOIs; pocket, shoulder, lip), and were more physically engaged. Group differences were not found for presence or simulator sickness. Outcomes show that surfing expertise is associated with more optimal visual attention to cues informing wave approach and wave dynamics. Experts look at these areas earlier than novices, and for more time overall. The findings suggest the performance advantages of early planning of motor actions, along with moment-to-moment adjustments while surfing.  相似文献   
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