镇静与镇痛在ICU机械通气患者中的应用变化

探讨ICU内机械通气患者应用镇痛剂、镇静剂及肌松剂的情况及其对机械通气和预后的影响。回顾性分析我院中心ICU2006年、2007年收治的244例行有创机械通气治疗超过48h患者的临床资料,并将患者分为2006年组和2007年纽,用统计软件分析患者在年龄、性别、入ICU时APACHEⅡ评分、血糖、血浆白蛋白、基础疾病,气管插管时间、机械通气时间、ICU住院天数、镇痛与镇静剂应用的时间、机械通气时是否使用肌松剂、Ramsay评分及病死率方面是否存在差别。统计分析显示2006年组和2007年组在年龄、性剐、入ICU时APACHEⅡ评分、血糖、血浆白蛋白、是否使用肌松剂及基础疾病方面无差别;与2006年组相比2007年组患者气管插管时间、机械通气时间及ICU住院天数均缩短,镇痛与镇静剂应用时间均缩短,Ramsay评分降低,病死率下降。提示对机械通气的危重症患者应合理使用镇痛剂与镇静剂。     

The many faces of stereotype threat: Group- and self-threat

Contending with negative intellectual stereotypes has been shown to depress the academic performance of targets of the stereotypes [Steele, C. M. (1997). A threat in the air: How stereotypes shape intellectual identity and performance. American Psychologist, 52, 613-629]. The present paper examines whether women’s mathematics performance is differentially affected by the concern of confirming that a negative stereotype is true of the self (self-threat), than by the concern of confirming that the stereotype is true of their gender (group-threat). In two studies we independently manipulated these different threats for women taking a mathematics test. Gender identification moderated the effect of group-threats on test performance; only women highly identified with their gender underperformed. The performance of less gender-identified women was unaffected by group-threats. In contrast, gender identification did not moderate the effect of self-threats—both high- and low-identified women underperformed. The results of these studies suggest that women’s math performance is differentially affected by the source of the threat.     

Perceptions of immigrants: modifying the attitudes of individuals higher in social dominance orientation

Previous research has demonstrated that directly challenging people's beliefs about immigrants may result in even stronger anti-immigration attitudes, especially among those higher in social dominance orientation (SDO). In addition, inducing the perception that immigrants are part of a larger ingroup does not modify immigration attitudes. In three studies, the article explores conditions that can reduce prejudice toward immigrants among those high in SDO. Studies 1 and 2 demonstrate that focusing attention on group identity maintains prejudice, whereas focusing attention on others reduces prejudice among those higher in SDO. Study 3 extends the findings of the first two studies by demonstrating that focusing attention on others in a way that induces perception of similarity with immigrants maintains negative attitudes toward immigrants, whereas focusing on individual values reduces prejudice among those higher in SDO. Implications for how prejudice could be reduced among those high in SDO through de-emphasis on group identity are discussed.     

Adult generativity and the socialization of adolescents: relations to mothers' and fathers' parenting beliefs, styles, and practices

Mothers, fathers, and their adolescent children participated in two studies investigating the relations between Erikson's concept of generativityin adulthood and patterns of parenting. Study 1 involved 77 mothers and 48 fathers of 1st-year university students; Study 2 was part of an investigation of socialization processes in 35 families with an adolescent, aged 14-18. Parental generative concern was assessed by the Loyola Generativity Scale (LGS) of McAdams and de St. Aubin (1992) in each study. In both studies, mothers demonstrated positive relations between scores on the LGS and an authoritative style of parenting, as well as between generativity and more positive, optimistic views of adolescent development. In Study 2, these more positive views in turn mediated some aspects of autonomy-fostering practices used with the adolescent. Variations in fathers' levels of generative concern were less consistently related to these indices of parenting, however.     

王岱舆的“天命有三品”论与儒家的天命观

王岱舆作为明末清初四教（儒、释、道、回）皆通的伊斯兰著名学者,他提出的“天命有三品”论,既适应了当时以儒家为主流文化的背景,也保持了其独特的伊斯兰性,在巧妙地处理与儒家天命观分歧的同时,又开放地拿儒家文化为己所用,从而为两种文明都赢得了宽松的环境,使得两种文明能够共存、共荣、共同发展。本文从王岱舆天命观与儒家天命观的介绍入手,分析其与儒家天命观的契合与分歧。